CT of fluid collections associated with pancreatitis

S. S. Siegelman, B. E. Copeland, G. P. Saba, John L Cameron, R. C. Sanders, Elias Zerhouni

Research output: Contribution to journalArticle

Abstract

Fluid collections are an important component of severe pancreatitis because they may produce a detectable mass and may be responsible for prolongation of fever and pain. Among 59 cases of clinically verified pancreatitis, 32 were shown by CT to be complicated by pancreatic and/or extrapancreatic fluid collections. Pancreatic fluid collections, diagnosed in 16 patients, were typically on the anterior or anterolateral surface of the gland and were covered only by a thin layer of fibrous connective tissue. Extrapancreatic fluid collections were detected in the lesser sac (19 cases), anterior pararenal space (15), posterior pararenal space (six), in or around the left lobe of the liver (five), in the spleen (three), and in the mediastinum (one). The potential undesirable consequences of escape of pancreatic juice are necrosis, abscess formation, or prolonged inflammation of the peripancreatic tissues. Relative preservation of pancreatic integrity as observed by CT was regularly found in patients with large extrapancreatic fluid collections, suggesting that escape of pancreatic juice produces a beneficial decompression of the pancreatic duct system.

Original languageEnglish (US)
Pages (from-to)1121-1132
Number of pages12
JournalAmerican Journal of Roentgenology
Volume134
Issue number6
StatePublished - 1980
Externally publishedYes

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Pancreatic Juice
Pancreatitis
Pancreatic Ducts
Peritoneal Cavity
Mediastinum
Decompression
Connective Tissue
Abscess
Fever
Necrosis
Spleen
Inflammation
Pain
Liver

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Siegelman, S. S., Copeland, B. E., Saba, G. P., Cameron, J. L., Sanders, R. C., & Zerhouni, E. (1980). CT of fluid collections associated with pancreatitis. American Journal of Roentgenology, 134(6), 1121-1132.

CT of fluid collections associated with pancreatitis. / Siegelman, S. S.; Copeland, B. E.; Saba, G. P.; Cameron, John L; Sanders, R. C.; Zerhouni, Elias.

In: American Journal of Roentgenology, Vol. 134, No. 6, 1980, p. 1121-1132.

Research output: Contribution to journalArticle

Siegelman, SS, Copeland, BE, Saba, GP, Cameron, JL, Sanders, RC & Zerhouni, E 1980, 'CT of fluid collections associated with pancreatitis', American Journal of Roentgenology, vol. 134, no. 6, pp. 1121-1132.
Siegelman SS, Copeland BE, Saba GP, Cameron JL, Sanders RC, Zerhouni E. CT of fluid collections associated with pancreatitis. American Journal of Roentgenology. 1980;134(6):1121-1132.
Siegelman, S. S. ; Copeland, B. E. ; Saba, G. P. ; Cameron, John L ; Sanders, R. C. ; Zerhouni, Elias. / CT of fluid collections associated with pancreatitis. In: American Journal of Roentgenology. 1980 ; Vol. 134, No. 6. pp. 1121-1132.
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