Acute Pancreatitis

  • Catherine Ridereau-Zins
  • Christophe Aubé
Part of the Medical Radiology book series (MEDRAD)


Acute pancreatitis is an inflammatory disease that is mild and resolves without serious morbidity in 80% of patients. In the remaining 20%, it is complicated by substantial morbidity and mortality. The early distinction of these two groups of patients is desirable, as it is essential for their proper management. Even though positive diagnosis of acute pancreatitis is based on clinical and biological data, imaging, especially abdominal multidetector computed tomography (MDCT), has a key role in the initial phases of the disease. It allows the establishment of radiologic scoring systems with the aim of predicting which patients will have a severe debilitating hospital course and which patients will recover without major physiologic insult. The time of realization and the technique of MDCT are presently well defined. In the initial phase of the disease, MDCT allows firstly assessment of extension of initial lesions (pancreatic necrosis and fluid collections) and secondly depiction of early complications. Later, MDCT in association with MRI contributes to the etiological diagnosis and to the detection of late complications. Moreover, MDCT is helpful to plan and perform the treatment of the complications.


Acute Pancreatitis Pancreatic Duct Fluid Collection Compute Tomography Examination Severe Acute Pancreatitis 
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Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  1. 1.Radiologie ACentre HospitalierAngersFrance

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