Significance of the computer tomography in assessing the dynamics of destructive pancreatitis

Significance of the computer tomography in assessing the dynamics of destructive pancreatitis

Barmina T.G., Sharifullin F.A., Zabavskaya O.A., Rogal M.L., Ivanov P.A., Novikov S.V.

Purpose. To present the possibilities of multislice computed tomography (MSCT) at different stages of pancreonecrosis development.

Materials and methods. This work presents a clinical case of a patient with acute destructive pancreatitis followed by the development of severe complications, its clinical and laboratory parameters and the results of radiation examination at admission. Repeated studies of MSCT with intravenous contrast agent, CT-fistulography.

Results. The results of dynamic MSCT throughout the treatment are analyzed, the semiotics of the manifestations of destructive pancreatitis and its complications are described, taking into account the clinical data, the emphasis is placed on the methodological aspects of the study that depend on the terms of the disease development and its clinical objectives.

Conclusion. MSCT allows to assess in detail the dynamics of the inflammatory process in the pancreas (pancreas) and in retroperitoneal tissue, to timely identify the developed complications and to optimize the tactics of treatment of the patient.

1 - Sklifosovsky Research and Clinical Institute for Emergency Medicine.

2 - I.M. Sechenov First Moscow State Medical University (Sechenov University).

Moscow, Russia.

 

Keywords: pancreas, destructive pancreatitis, pancreatic necrosis, CT-visualization of complications of acute pancreatitis, multislice computed tomography, CT-fistulography.


Corresponding author:  Barmina T.G., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Barmina T.G., Sharifullin F.A., Zabavskaya O.A., Rogal M.L., Ivanov P.A., Novikov S.V. Significance of the computer tomography in assessing the dynamics of destructive pancreatitis. REJR 2019; 9(1):269-274. DOI:10.21569/2222-7415-2019-9-1-269-274.

Received:        11.12.18 Accepted:       16.01.19