Case Review: CT & MRI of Necrotizing Pancreatitis - a podcast by Daniel J. Kowal, MD
from 2021-11-10T10:00:51
In this radiology lecture, we discuss the imaging appearance of necrotizing pancreatitis on both CT and MRI.
Key points include:
* According to the revised Atlanta classification, there are two types of acute pancreatitis: Interstitial edematous pancreatitis (IEP) and necrotizing pancreatitis (NP).
* For IEP, fluid collection in first 4 weeks = acute peripancreatic fluid collection, after 4 weeks = pseudocyst.
* For NP, fluid collection in first 4 weeks = acute necrotic collection, after 4 weeks = walled-off necrosis.
* Non-enhancing hypoattenuating areas = necrotizing pancreatitis.
* Gas suspicious for infection/emphysematous pancreatitis.
* Vascular complications are important to identify.
* Venous thrombosis: splenic, portal, and mesenteric veins.
* Pseudoaneurysms: Splenic and gastroduodenal artery.
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