Utility of ultrasound in acute pancreatitis

被引:22
|
作者
Burrowes, David P. [1 ]
Choi, Hailey H. [2 ]
Rodgers, Shuchi K. [3 ,4 ]
Fetzer, David T. [5 ]
Kamaya, Aya [6 ]
机构
[1] Univ Calgary, Cumming Sch Med, 1403 29 St NW, Calgary, AB T2N 2T9, Canada
[2] UCSF, 1001 Potrero Ave, San Francisco, CA 94110 USA
[3] Einstein Med Ctr, Dept Radiol, 5501 Old York Rd, Philadelphia, PA 19141 USA
[4] Thomas Jefferson Univ, Sidney Kimmel Med Coll, Philadelphia, PA 19107 USA
[5] Univ Texas Southwestern Med Ctr Dallas, Dept Radiol, 5323 Harry Hines Blvd E6-230, Dallas, TX 75390 USA
[6] Stanford Univ, Dept Radiol, 300 Pasteur Dr H1307, Stanford, CA 94305 USA
关键词
Pancreatitis; Gallstones; Ultrasound; Sonographic technique; Bile duct; BILE-DUCT STONES; COMPUTED-TOMOGRAPHY; MANAGEMENT; DIAMETER; CT; CHOLEDOCHOLITHIASIS; PSEUDOANEURYSMS; GALLSTONES; DIAGNOSIS; US;
D O I
10.1007/s00261-019-02364-x
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Ultrasound plays an essential role in the initial evaluation of patients with suspected or confirmed acute pancreatitis. In addition to evaluation of the pancreatic parenchyma, ultrasound is used for assessment of the gallbladder, biliary tree, peripancreatic tissues, and regional vascular structures. While enlarged and edematous pancreas are classic sonographic features of acute pancreatitis, the pancreas may appear sonographically normal in the setting of acute pancreatitis. Nonetheless, sonographic evaluation in this setting is valuable because assessment for etiologic factors such as gallstones or evidence of biliary obstruction are best performed with ultrasound. Complications of pancreatitis such as peripancreatic fluid collections, venous thrombosis, or arterial pseudoaneurysm can be identified with careful and focused ultrasound examination. Knowledge of various scanning techniques can help to mitigate some of the commonly encountered barriers to sonographic visualization of the pancreas and right upper quadrant structures. Ultrasound can also be used for guidance of percutaneous treatment such as drainage of fluid collections or pseudoaneurysm thrombosis. Difficulty in differentiating edematous from necrotizing pancreatitis can be mitigated with the use of contrast-enhanced ultrasound to assess pancreatic parenchymal enhancement.
引用
收藏
页码:1253 / 1264
页数:12
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