Teaching Points
Role of Imaging in acute pancreatitis- Exclude an underlying cause (eg gallstones)
- Assess severity
- Detect complications
- Guide treatment of complications (eg fluid collection drainage)
CT SCAN - Routine CT scan is not indicated. Indications include:
- Where diagnosis is in doubt
- Clinically severe cases to assess degree of pancreatic necrosis
- Failure to improve or sudden deterioration
- Imaging complications of pancreatitis
US Scan
- To help determine aetiology of pancreatitis
- Assess for gallstone-induced pancreatitis
- Assess bile duct if abnormal liver function
ERCP (Endoscopic Retrograde Cholangiopancreatography) - Indications include:
- Severe pancreatitis of proven or suspected gallstone aetiology
- Presence of cholangitis
- Presence of jaundice
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