Acute Pancreatitis
Understanding Acute Pancreatitis found on Pancreas Computed Tomography imaging. Learn what this finding means and what steps to take next.
Radiographic Appearance
Computed Tomography FindingEnlarged pancreas with peripancreatic fat stranding; possible fluid collections or necrosis.
Clinical Significance
Can progress to necrosis or organ failure; CT staging guides management.
What is Acute Pancreatitis?
Inflammation of the pancreas, most often from gallstones or alcohol. CT helps assess severity and complications.
Imaging Appearance
- Diffuse or focal enlargement with blurred margins
- Peripancreatic fat stranding or fluid
- Areas of non-enhancement suggest necrosis
- Collections may evolve into pseudocysts
Clinical Significance
- BISAP/CT severity informs ICU needs
- Look for biliary obstruction or gallstones
Symptoms
- Epigastric pain radiating to back
- Nausea, vomiting
- Fever in severe cases
Diagnosis
- Contrast-enhanced CT after 48–72h if diagnosis uncertain or severe
- Labs: liver enzymes for biliary cause; others per clinician
Treatment
- Aggressive IV fluids, pain control, NPO initially
- Address cause: ERCP for gallstone pancreatitis when indicated
- Manage collections or necrosis in multidisciplinary care
Prognosis
- Mild cases resolve; necrotizing disease increases morbidity
What Should You Do?
- Follow hospital care plan and hydration targets.
- Avoid alcohol and high-fat meals post-recovery.
- Seek care for recurrent pain or fever.
Medical Disclaimer: Educational only; follow specialist advice.
Correlate with Lab Results
Doctors often check these blood tests when Acute Pancreatitis is found on imaging:
Related Imaging Terms
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