Volume : VII, Issue : I, January - 2018

Comparison of CLINICAL FINDINGS VS CT FINDINGS in case of ACUTE PANCREATITIS

Dr. Manoranjan R Kuswaha, Dr. Shobhit R Chhabra, Dr. Jigar B Jariwala

Abstract :

 

Background:  Acute pancreatits is one of the most common cause of acute abdomen. Gall stone pancreatitis is most common cause of acute pancreatitis while alcoholic pancreatitis is most common cause of chronic pancreatitis.

Objective : Comparitive study between clinical and CT scan findings for diagnosing necrotising pancreatitis and predicting the severity of acute pancreatitis.

Method : A study of 25 cases with acute pancreatitis performed at V.S. Hospital Ahmedabad during the period of October 2015 to November 2017. On admission, detailed history, clinical, radiological and laboratory examinations were done. Then correlation between clinical findings and CT findings was studied.

Result : Of the 25 patients in this study, 15 were males and 10 were females from age group of 12 to 70 years. Maximum number of patient is below 45 years of age that is 18 (72%) patient. 60 % male patient developed acute pancreatitis and 40 % of female. Alcohol identified as the most important etiologic factor associated with pancreatitis in our patients. Abdominal pain and vomiting were the most consistent symptoms. Epigastric tenderness is present in 92% of cases. Guarding /rigidity are present in 52% of patient. 24% patient show jaundice as a sign of acute pancreatitis. CT grading system can identify patient at higher risk  of mortality more accurately than clinical grading system; on other hand clinical grading system identify patient at risk of organ failure and requiring ICU admission more accurately ,so there is no major difference between both grading system.

Conclusion : In conclusion, there is no significant superiority of CT scan over clinical finding in predicting severity of Acute Pancreatitis. Therefore, obtaining a CT for assessment of severity on the day of admission is not recommended.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. Manoranjan R Kuswaha, Dr. Shobhit R Chhabra, Dr. Jigar B Jariwala, Comparison of CLINICAL FINDINGS VS CT FINDINGS in case of ACUTE PANCREATITIS, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-1 | January-2018


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