Abstract

Acute pancreatitis is a process of acute inflammation of pancreas usually caused by biliary stone, alcohol ingestion, metabolic factors and drugs. Abdominal pain is the major symptom of acute pancreatitis. Mild & severe forms are two types of pancreatitis. Mild pancreatitis, also called as interstitial or edematous pancreatitis, is associated with minimal organ failure and an uneventful recovery. Patients admitted to Medical College with the clinical impression of acute pancreatitis who underwent contrast-enhanced MDCT during study period within three days of admission are included in the study. All scans were done using SIEMENS 32SLICE MDCT with 120 KVp and 270 mAs with 5 mm slice thickness. According to the CT Severity Index, the patients graded into mild (n=34), moderate (n=12), and severe (n=1). 72% of patients had mild, 25% of patients had moderate, and only 2% of patients had severe pancreatitis as per CTSI score. The present study showed no correlation between the presence of necrosis and prediction of end-organ failure (EOF). Pancreatic necrosis was present in 38% of patients without any evidence of EOF, and there was no evidence of necrosis on CT scan in 61% patients with EOF.

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