Air in the main pancreatic duct: demonstration with US.

Abstract:

:Air in the pancreas--nearly always related to an abscess or a pancreatic fistula--is rarely demonstrated. Over a 3-year period, the authors detected air in the main pancreatic duct with ultrasonography (US) in 11 patients. The ductal caliber was normal in five patients and dilated in six. At US, air in the main pancreatic duct is characterized by strongly echogenic foci or echogenic lines in the duct, casting acoustic shadows or producing reverberation artifacts. It is likely that in patients who have biliary-enteric anastomoses or have undergone sphincterotomy, air in the duct of Wirsung is the result of biliary-pancreatic reflux. In patients who have not undergone such operations, the likely cause of pancreatic gas is duodenal-pancreatic duct reflux. Pancreatic gas may be related to causes other than a pancreatic abscess or fistula; it is therefore important for clinicians to realize that pancreatic ductal gas seen on US images may be secondary to prior surgery or due to sphincter of Oddi dysfunction.

journal_name

Radiology

journal_title

Radiology

authors

Costa PL,Righetti G

doi

10.1148/radiology.181.3.1947100

subject

Has Abstract

pub_date

1991-12-01 00:00:00

pages

801-3

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

181

pub_type

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