Ultrasonography in acute pancreatitis

P. Mehta, B. N. Lakhkar, S. Banavali

Research output: Contribution to journalReview article

Abstract

Ultrasound examination of the pancreas in an emergency situation is often neither easy to perform or interpret, nor is it particularly sensitive or specific. This leads to a high frequency of indeterminate results in a critically ill patient even in expert hands. While there are technical difficulties in the first 24 to 48 hours owing to paralytic ileus and abdominal guarding, it is a good practice to keep in mind the following goals of ultrasonography in the initial period. a) To suggest an alternative diagnosis (eg. hepatic abscess, acute cholecystitis, etc.) if any. b) Evaluate gall bladder and biliary tree clarify etiology of biliary pancreatitis. c) Clarify diagnostic dilemmas in questionable cases of mild pancreatitis. d) To diagnose pancreatic and peripancreatic fluid collections or phlegmon. e) Follow up phlegmon for development of pseudocyst. f) To suggest hemorrhagic fluid collections. g) Detection and diagnosis of pseudoaneurysms.

Original languageEnglish
Pages (from-to)235-240
Number of pages6
JournalIndian Journal of Radiology and Imaging
Volume7
Issue number4
Publication statusPublished - 01-12-1997
Externally publishedYes

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Pancreatitis
Ultrasonography
Cellulitis
Intestinal Pseudo-Obstruction
Liver Abscess
Acute Cholecystitis
False Aneurysm
Biliary Tract
Critical Illness
Pancreas
Urinary Bladder
Emergencies
Hand

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

Mehta, P., Lakhkar, B. N., & Banavali, S. (1997). Ultrasonography in acute pancreatitis. Indian Journal of Radiology and Imaging, 7(4), 235-240.
Mehta, P. ; Lakhkar, B. N. ; Banavali, S. / Ultrasonography in acute pancreatitis. In: Indian Journal of Radiology and Imaging. 1997 ; Vol. 7, No. 4. pp. 235-240.
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Mehta, P, Lakhkar, BN & Banavali, S 1997, 'Ultrasonography in acute pancreatitis', Indian Journal of Radiology and Imaging, vol. 7, no. 4, pp. 235-240.

Ultrasonography in acute pancreatitis. / Mehta, P.; Lakhkar, B. N.; Banavali, S.

In: Indian Journal of Radiology and Imaging, Vol. 7, No. 4, 01.12.1997, p. 235-240.

Research output: Contribution to journalReview article

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AU - Mehta, P.

AU - Lakhkar, B. N.

AU - Banavali, S.

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AB - Ultrasound examination of the pancreas in an emergency situation is often neither easy to perform or interpret, nor is it particularly sensitive or specific. This leads to a high frequency of indeterminate results in a critically ill patient even in expert hands. While there are technical difficulties in the first 24 to 48 hours owing to paralytic ileus and abdominal guarding, it is a good practice to keep in mind the following goals of ultrasonography in the initial period. a) To suggest an alternative diagnosis (eg. hepatic abscess, acute cholecystitis, etc.) if any. b) Evaluate gall bladder and biliary tree clarify etiology of biliary pancreatitis. c) Clarify diagnostic dilemmas in questionable cases of mild pancreatitis. d) To diagnose pancreatic and peripancreatic fluid collections or phlegmon. e) Follow up phlegmon for development of pseudocyst. f) To suggest hemorrhagic fluid collections. g) Detection and diagnosis of pseudoaneurysms.

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Mehta P, Lakhkar BN, Banavali S. Ultrasonography in acute pancreatitis. Indian Journal of Radiology and Imaging. 1997 Dec 1;7(4):235-240.