Abstract
Twenty-eight consecutive patients with a first attack of alcohol-induced pancreatitis were studied using contrast-enhanced CT. The findings on CT were then related to the course of the disease. The patients with acute hemorrhagic-necrotizing pancreatitis showed significantly lower enhancement values of the pancreatic parenchyma than those with milder forms of the disease.
The next 20 patients with severe pancreatitis were scanned using a slightly modified procedure. The enhancement values were calculated and plotted on the graphs for the 2 former groups.
Two categories of pancreatic enhancement were found: “low enhancement” and “high enhancement.” In all 10 patients with “low-enhancement” values surgery revealed hemorrhagic-necrotizing pancreatitis. In the 10 patients with “highenhancement” values conservative treatment was continued, and the clinical course was nonfulminant in all of them.
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Kivisaari, L., Somer, K., Standertskjöld-Nordenstam, CG. et al. A new method for the diagnosis of acute hemorrhagic-necrotizing pancreatitis using contrast-enhanced CT. Gastrointest Radiol 9, 27–30 (1984). https://doi.org/10.1007/BF01887796
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DOI: https://doi.org/10.1007/BF01887796