Chronic pancreatitis: ultrasonic features.

Abstract:

:A retrospective analysis of 84 ultrasound examinations (in 77 patients) was performed to assess the frequency of sonographic findings in chronic pancreatitis. The findings included: inhomogeneously increased echogenicity in 53% of these examinations, focal or diffuse enlargement in 41%, focal dense echoes in 40%, pseudocyst formation in 21%, and a hypoechoic head mass in 7%. Thirteen per cent of our patients had a normal sonogram. Several presentations of chronic pancreatitis not previously described in the sonographic literature included: pancreatic or common bile duct enlargement or pseudocyst formation with otherwise normal-appearing glands. There was no direct relationship between the presence of focal high-intensity echoes within the pancreatic parenchyma and the presence of radiographic calcification. There was no difference in the frequency of ultrasonic abnormalities between patients with and without clinical evidence of pancreatic insufficiency. These results indicate that the sonographic findings in chronic pancreatitis are significantly more varied than previous reports would indicate.

journal_name

Radiology

journal_title

Radiology

authors

Alpern MB,Sandler MA,Kellman GM,Madrazo BL

doi

10.1148/radiology.155.1.3883420

subject

Has Abstract

pub_date

1985-04-01 00:00:00

pages

215-9

issue

1

eissn

0033-8419

issn

1527-1315

journal_volume

155

pub_type

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