Role of Multi Detector Computed Tomography in Evaluation of Vascular Complications of Pancreatitis: A Cross-sectional Study
Introduction: The involvement of the blood vessels around the pancreas in pancreatitis may result in devastating complications. The proteolytic enzymes secreted by the inflamed pancreas can directly erode the walls of arteries in and around the pancreas, resulting in haemorrhage or pseudoaneurys...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Pvt. Ltd.
2021-04-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
| Subjects: | |
| Online Access: | http://www.ijars.net/articles/PDF/2622/46993_CE[Ra]_F(Sh)_PF1(AKA_SHU)_PFA(SHU)_PN(SHU).pdf |
| Summary: | Introduction: The involvement of the blood vessels around the
pancreas in pancreatitis may result in devastating complications.
The proteolytic enzymes secreted by the inflamed pancreas can
directly erode the walls of arteries in and around the pancreas,
resulting in haemorrhage or pseudoaneurysms formation. On
the other hand, the inflamed tissue may compress or thrombose
adjoining veins. Multidetector Computed Tomography (MDCT)
serves as an excellent tool for diagnosis and evaluation of
complications of pancreatitis and can detect most vascular
complications.
Aim: To evaluate the MDCT findings of vascular complications
associated with pancreatitis.
Materials and Methods: This cross-sectional study was
conducted on 60 patients at the Department of Radiology in
the Tertiary Care Hospital attached to Mysore Medical College
and Research Institute, Mysore, India for 12 months from 1st
August 2019 to 31st July 2020. Each patient was subjected to
unenhanced and contrast-enhanced CT to characterise the
vascular complications associated with pancreatitis. The results
were tabulated and evaluated descriptively by Microsoft excel
2016 and presented in figures and tables.
Results: Of the 60 patients included, Splenic Vein Thrombosis
(SVT) was seen in 39 (65%), followed by Portal Vein (PV)
thrombosis in 17 (28.3%), Superior Mesenteric Vein (SMV)
thrombosis in 14 (23.3%), all the three vein thrombosis was
seen in 7 (11.6%) and arterial pseudoaneurysms was seen in
3 (5%).
Conclusion: Vascular complications in pancreatitis are not
uncommon but should be evaluated in all cases of pancreatitis.
Contrast-enhanced CT is the main imaging modality for
originally identifying local complications. SVT is one of the most
frequently found vascular complications seen in patients of
pancreatitis. |
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| ISSN: | 2277-8543 2455-6874 |