Abstract |
CT of the pancrease permitted correct positive diagnosis in 28/50 or 56% of patients with chronic pancreatitis proved by laparotomy or retrograde ductography. Diagnoses were based on CT identification of one or more specific hallmarks of chronic pancreatitis including calcifications (18/50 or 36%), parenchymal atrophy (7/50 or 14%) and pancreatic duct dilatation (2/50 or 4%), as well as the principal surgical complications, pseudocyst and abscess (15/50 or 30%). In 9 patients, CT disclosed pancreatic calcifications not visible on conventional radiographs. In 32 patients, ultrasound was less informative than CT giving a correct diagnosis in 8 pseudocycts (25%). In the patient with unexplained upper abdominal complaints, a positive CT diagnosis of chronic pancreatitis permits more confident patient management than a negative, or "no tumor" diagnosis rendered by other noninvasive examinations.
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Authors | J T Ferrucci, J Wittenberg, E B Black, R H Kirkpatrick, D A Hall |
Journal | Radiology
(Radiology)
Vol. 130
Issue 1
Pg. 175-82
(Jan 1979)
ISSN: 0033-8419 [Print] United States |
PMID | 758645
(Publication Type: Journal Article)
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Topics |
- Chronic Disease
- Diagnosis, Differential
- Evaluation Studies as Topic
- Humans
- Pancreatic Cyst
(diagnostic imaging)
- Pancreatic Ducts
(diagnostic imaging)
- Pancreatic Neoplasms
(diagnostic imaging)
- Pancreatitis
(diagnostic imaging)
- Tomography, X-Ray Computed
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