IMAGING CHARACTERISTICS AND VALUE OF MULTIDETECTOR COMPUTED TOMOGRAPHY IN DIAGNOSIS OF ACUTE PANCREATITIS AT CAN THO CENTRAL GENERAL HOSPITAL IN 2020-2022
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Abstract
Background: Acute pancreatitis is one of the major complex abdominal diseases causing significant morbidity and mortality. Computed tomography not only plays an important role in the diagnosis but also enables to stage the severity of the disease and evaluates complications. Objectives: To survey some imaging characteristics, to evaluate the value of CECT in the diagnosis of acute pancreatitis from May 2020 to July 2022. Materials and methods: This study was carried out on 83 patients having acute pancreatitis who had been admitted to Can Tho Central General Hospital and sent for CT scan examination. This was a descriptive study. Results: Male/female ratio was 1.4. The most commonly affected age group in this study was 50-59 years (26.5%). Alcohol was the most common aetiological factor seen in 26.5% of cases and was noted only in males. The most common vascular complication was splenic venous thrombosis (12%). Balthazar grade E was the most common (74.7%), followed by grades D (12%) and C (9.6%). The majority of the cases (55.4%) were categorized as moderate pancreatitis according to the CTSI score. A significant correlation was seen between the CTSI score and venous thrombosis, and pleural effusion. Pancreatic necrosis was significantly more common in patients with thrombosis (p < 0.001). The CT showed a sensitivity of 97.53% in the diagnosis of acute pancreatitis. Conclusions: CECT plays an important role in the diagnosis and imaging of acute pancreatitis
Keywords
Acute pancreatitis, computed tomography, CT severity index
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References
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