Skip to content Skip to sidebar Skip to footer

ULTRASOUND IMAGES PANCREATITIS

Inflammation of the pancreas may be acute or chronic and is usually a response to the destruction of pancreatic tissue by its own digestive enzymes (autodigestion), which have been released from damaged pancreatic cells.
Ultrasound images Acute pancreatitis.
Clinical features Acute inflammation of the pancreas has a number of possible causes (Table A ), but is most commonly associated with gallstones or alcoholism. Clinically it presents with severe epigastric pain, abdominal distension and nausea or vomiting. In milder cases, the patient may recover spontaneously. If allowed to progress untreated, peritonitis and other complications may occur. Biochemically, raised levels of amylase and lipase (the pancreatic enzymes responsible for the digestion of starch and lipids) are present in the blood and urine. Acute inflammation causes the pancreatic tissue to become necrosed, releasing the pancreatic enzymes which can further destroy the pancreatic tissue and also the capillary walls, entering the blood stream.
Ultrasound images pancreatitis
Mild acute pancreatitis may have no demonstrable features on ultrasound, especially if the scan is performed after the acute episode has settled. In more severe cases the pancreas is enlarged and hypoechoic due to oedema. The main duct may be dilated or prominent. As the condition progresses, digestive enzymes leak out, forming collections or pseudocysts. These are most frequently found in the lesser sac, near the tail of the pancreas, but can occur anywhere in the abdomen—within the pancreatic tissue itself, anywhere in the peritoneal or retroperitoneal space or even tracking up the fissures into the liver—so a full abdominal ultrasound survey is essential on each attendance (Fig. below). Pseudocysts are so called because they do not have a capsule of epithelium like most cysts, but are merely collections of fluid surrounded by adjacent tissues. A pseudocyst may appear to have a capsule on ultrasound if it lies within a fold of peritoneum. Pseudocysts may be echo-free, but generally contain echoes from tissue debris and may be loculated. In a small percentage of cases, a pseudocyst or necrotic area of pancreatic tissue may become infected, forming a pancreatic abscess. Although acute pancreatitis usually affects the entire organ, it may occur focally. This presents a  diagnostic dilemma for ultrasound, as the appearances are indistinguishable from tumour. The clinical history may help to differentiate; suspicion of focal pancreatitis should be raised in patients with previous history of chronic pancreatitis, a history of alcoholism and normal CA 19–9 levels (a tumour marker for pancreatic carcinoma). The enlargement of the pancreas in acute pancreatitis may have other consequences, for example the enlarged pancreatic head may obstruct the common bile duct, causing biliary dilatation. Doppler ultrasound is useful in assessing associated vascular complications. Prolonged and repeated attacks of acute pancreatitis may cause the splenic vein to become encased and compressed, causing splenic and/or portal vein thrombosis, with all its attendant sequelae (Fig.below). Although ultrasound is used to assess the pancreas in cases of suspected acute pancreatitis, its main role is in demonstrating the cause of the pancreatitis, for example biliary calculi, in order to plan further management. The ultrasound finding of microlithiasis or sludge in the gallbladder is highly significant in cases of suspected pancreatitis, and has been implicated in the cause of recurrent pancreatitis.
image
Ultrasound images Acute pancreatitis in a patient with alcoholic liver disease. The pancreas is hypoechoic and bulky with a lobulated outline.
image
Ultrasound images Large pseudocyst near the tail of the pancreas in acute pancreatitis
image
Ultrasound images Necrotic tail of pancreas surrounded by exudate.
image
Ultrasound images Inflammatory exudate is seen around the right kidney in acute pancreatitis Table A Causes of acute pancreatitis Biliary calculi—most common cause. Obstructs the main pancreatic duct/papilla of Vater and may cause reflux of bile into the pancreatic duct. Alcoholism—alcohol overstimulates pancreatic secretions causing overproduction of enzymes Trauma/iatrogenic—damage/disruption of the pancreatic tissue, e.g. in a road traffic accident, or by surgery, biopsy or ESWL Drug-induced—a relatively uncommon cause. Some anticancer drugs can cause chemical injury . Infection—e.g. mumps. A rare cause of pancreatitis Congenital anomaly—duodenal diverticulum, duodenal duplication, sphincter of Oddi stenosis or choledochal cyst may obstruct the pancreatic duct, giving rise to pancreatitis Hereditary—a rare, autosomal dominant condition presenting with recurrent attacks in childhood or early adulthood. ESWL = extracorporeal shock wave lithotripsy.

2 comments for "ULTRASOUND IMAGES PANCREATITIS"

  1. Dr Itua cures my HIV, I have been an ARV Consumption for 10 years. I have been in pain until I came across Dr Itua on a blog site. I emailed him about my details of my HIV and my location I explained everything to him and he told me that there is nothing to be scared of that he will cure me, he gave me guarantee, He asks me to pay for items fees so when I'm cured I will show gratitude I did and giving testimony of his healing herbs is what I'm going to do for the rest of you out there having HIV and other disease can see the good work of Dr Itua. I received his herbal medicine through EMS Courier service who delivered to my post office within 5 working days. Dr Itua is an honest man and I appreciate him for his good work. My GrandMa called him to appreciate him and the rest of my friends did too, Is a joy to me that I'm free of taking Pills and having that fat belle is a nightmare.you will understand what I'm talking about if you have the same problem I was having then not now though. I'm free and healthy Big Thanks To Dr Itua Herbal Center. I have his calendar too that he recently sent me, He Cures all kind disease Like, Cancer,Weak Erection, Wart Remover,Hpv, Herpes,Alzheimer’s disease,Bechet’s disease,Crohn’s disease,Cushing’s disease, Heart failure, Multiple Sclerosis, Hypertension,Fibromyalgia,Hiv, Hepatitis B, Liver/Kidney Inflammatory, Epilepsy,Blood Cancer, Prostate Cancer, Colo-Rectal Cancer, Brain Cancer, Lung Cancer, Infertility,Parkinson's disease, Lung Cancer, Breast Cancer, Colo-Rectal Cancer, Blood Cancer, Prostate Cancer, Epilepsy disease, small-round-cell tumor Diabetes,Celiac disease, Ataxia, Arthritis, measles, tetanus, whooping cough, tuberculosis, polio, Seizures,Alzheimer's disease,Adrenocortical carcinoma, Asthma, Allergic diseases.Hiv/Aids,Herpe ,Copd, Glaucoma, Cataracts,Macular degeneration,Cardiovascular disease,Lung disease, Enlarged prostate, Alzheimer's disease, Dementia. Fibroid,Diabetes,Dercum,Copd ,and also Bring back Ex Lover Back. Here his Contact .drituaherbalcenter@gmail.com Or Whats_app Number +2348149277967

    ReplyDelete
  2. I was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the
    liver already present. I started on antiviral medications which
    reduced the viral load initially. After a couple of years the virus
    became resistant. I started on HEPATITIS B Herbal treatment from
    ULTIMATE LIFE CLINIC (www.ultimatelifeclinic.com) in March, 2020. Their
    treatment totally reversed the virus. I did another blood test after
    the 6 months long treatment and tested negative to the virus. Amazing
    treatment! This treatment is a breakthrough for all HBV carriers.

    ReplyDelete

Category

3 tesla MRI (3) 3D CT (2) 3d printing (1) 7 tesla MRI (1) abdomen (14) Abnormal Mri Brain (33) about (1) accessory bone (1) ACL reconstruction (1) ACL tear (1) ACLS (1) acute cerebillitis (1) acute pancreatitis (1) aiims (2) aiims may 2011 (1) AIIMS nov 2008 (1) aipg (1) ALPSA lesion (1) Anatomy (29) ANGIOGRAPHY (1) ankle (1) ankle fracture (1) ankle sprain (2) Apk Android (8) apple (1) Arachnoid cyst (2) articular cartilage (1) aspergilloma (1) ATFL (1) atherosclerosis (1) avulsion injury (1) awards (1) b (6) B12 deficiency (1) bankart lesion (1) basics (8) basilar artery thrombosis (1) bilateral phaeochromocytoma (1) biopsy (1) bipolar (1) blog (3) BLS (1) body imaging (8) bohler's angle (1) BOLD (1) bone tumour (3) bone tumours (1) bowel cancer (2) brachial plexus (1) BRAIN (4) brain abscess (2) Brain CT (1) brain tb (1) Brain tumour (14) brainstem stroke (1) branchial cyst (1) breast cancer screening (1) Breast imaging (1) Breast imaging Mammography (1) buford complex (1) business today (1) c (9) C T (8) calcaneal fracture (1) calcium scoring (1) cancer (6) canned reports (1) Carcinoid (1) carcinoma esophagus (1) carcinoma stomach (1) cardiac CT (3) cardiac ct/pet (1) cardiac pacemaker (1) cardiogen 82 (1) cardiothoracic imaging (1) career (3) case study (2) catrotid artery dissection (1) cavernoma (1) cerebral venous thrombosis (3) cervical lymphnode levels (1) chest (23) chest radiographic score (1) chest radiographs (1) chest radiology (6) Chest X Ray (3) Chest X Ray Interpretation (7) Chest X Ray Self Assesment (1) chest xray (3) CHF (1) choledocolithiasis (1) classification (1) Clinicoradiological series (4) cloud computing (1) cochlear implant (1) colloid cyst (1) communication in radiology (1) compare case (1) computers and radiology (2) concha bullosa (1) congenital brain anomalies (1) congenital heart disease (1) contrast (2) Contrast Agent (1) coronary artery disease (1) coronary CT (1) corpus callosum agenesis (1) correct (2) Covid19 (2) craniopharyngioma (1) Creutzfeldt-Jakob Disease (1) cryptococcal meningitis (1) CT (25) ct abdomen and pelvis (1) CT Abdomen with contrast (10) CT angiography (1) CT Cardiac (2) CT coronary angiography (1) CT Paranasal (1) CT Scanner Price (1) CT technology (1) CV junction (1) CXR (5) CXR teaching files (1) cystic renal disease (1) d (3) DAMS (11) Dams clinicoradiological series (3) Dams grand rounds (1) Dams MD/ms (1) dams md/ms coaching (5) dams usmle (1) dams visual treat (1) deep brain stimulator (1) dengue (1) dengue hemorrhagic fever (1) developmental dysplasia (1) devices (1) diagnostic imaging (1) dialysis (1) differential diagnosis (31) diffusion MR imaging (1) diffusion tensor imaging (1) diffusion tractography (1) Diffusion weighted imaging (1) digital radiography (1) Diploma Guid (2) distal facial neuroma (1) dsa (1) duplication gall bladder (1) dynamic MRI (4) Dysmenorrhea (1) E (1) E World Award 2011 (1) echinococcus (1) echocardiography (1) ectopic kidney (1) elearning (1) elevated diaphragm (1) Embolization Imaging (1) Entrepreneur (3) Entrepreneurship (1) ependymoma (2) epidermoid (2) epilepsy (1) Equipment Cost (2) esop (1) EYE (1) facebook (2) facial neuroma (1) FDA (2) FETUS (4) Fibrous dysplasia (2) fibular osteosarcoma (1) FMG India (1) FMGE (1) FNH (1) Focal liver lesions ultrasound (1) Focal nodular hyperplasia (1) fracture (3) Fun (6) functional mri (1) gadolinium (3) Gall bladder (1) gastrointenstinal tuberculosis (1) gastrointestinal (3) Gastrointestinal Tract Images (3) Gastrointestinal x ray (4) gb 3d (1) GBM (1) GenitoUrinary (5) genitourinary radiology (3) germinoma (1) GI (1) GI radiology (4) gifts (1) GIT (1) Glioblastoma multiforme (1) glioma (1) Glomus jugulare (1) google (1) google plus (1) Group Case (1) guest post (2) guide (8) gun shot injury (1) haemangioblastoma (1) HEAD (1) head and neck radiology (7) Head injury (1) Head Neck (30) health 2.0 (1) healthcare consultancy (1) HEART (1) hemangiblastoma (1) hemophilia (1) hepatobiliary imaging (3) hippocampus (1) hirayama disease (1) HRCT (1) HSG (1) hydatid cyst (1) hypercoagulable (1) hypoxic ischemic encephalopathy (1) ICA dissection (1) Iliotibial Band Friction Syndrome (1) Imaging (11) incorrect (1) indian conferences (1) inferior rectus anomaly (1) infrared (1) interior tomography (1) internet journal of radiology (2) interstitial lung disease (1) interventional radiology (14) Interventional Ultrasound Guiding Biopsi (2) intramedullary metastates (1) intramedullary tuberculomas (1) ipad (1) ipad 2 (1) iphone (2) IRIA 2011 (1) IUGR (1) IVC filter (1) jacoud's arthropathy (1) job (15) Job Info (1) kernohan's notch (1) Kidney Cancer (1) kienbock disease (2) knee (2) kohler's disease (1) krukenberg tumour (1) laceration (1) leber's optic atrophy (1) Leptomeningeal cyst (1) lifestyle (4) lipoma (3) Literature (3) liver (2) Liver abscess ultrasound (3) liver segments ct (2) liver transplant (1) locum tenens (2) Lower Extremity (3) lung contusion (1) LV thrombus (1) lymphatics (1) macros (1) mammography (5) MAMOGRAPHY (1) marchifava bingami disease (1) mastoiditis (1) maxillary sinus mucocele (1) MCI Screening (1) MD (1) MD/MS coaching (3) MDCT (2) medial malleolus ossicle (1) medial tibial stress syndrome (1) medical blogs (3) medical writting (1) medicare (1) medicolegal aspects of teleradiology (1) Mesenteric ischemia (1) Middle East respiratory syndrome coronavirus (MERS-CoV) (1) migraine (1) mnemonic (26) mortality (1) motor area (1) Motor neuron disease (1) MPPG (1) MR mammography (1) MR Pancreas (2) MR urography (1) MRA (1) MRCP (1) MRI (45) mri abdomen (2) MRI Cervical (1) MRI contrast (2) mri knee (1) mri lower abdomen (3) mri lumbal (1) MRI update (1) MRI Vertebrae (2) MRI Vertebrae lumbal (2) MRI/PET (1) MRS (2) MRV (1) msk penang course (1) mucinous cystadenoma (1) multicentric Glioblastoma multiforme (1) multislice CT (2) musculoskeletal (21) Musculoskeletal MRI (37) Musculoskeletal radiology (72) mycotic pseudoaneurysm of superficial temporal artery (1) nature (9) NECK (1) nephrogenic systemic fibrosis (1) nephrology (1) Neuroradiology (144) neurosurgery meets (1) nonradiologist (1) Normal Liver US (1) oesophagus (1) olecranon spur (1) On Call Radiology (1) Oncology trial (1) online medical games (1) open access (1) opercular syndrome (1) opinion (1) orbit (1) ORTHOPEDICS (5) os odontoideum (1) os radiale externum (1) osirix (1) osteochondritis (1) osteochondroma (1) osteoid osteoma (1) outsourcing radiology (1) ovarian tumour (1) PAEDIATRICS (2) parameniscal cyst (1) paranasal sinuses (1) parotid vascular mass (1) Partial anomalous pulmonary venous drainage (1) patellar sleeve avulsion fracture (1) patent ductus arteriosus (1) patent foramen ovale (1) patient information (1) PDF Radiology (1) pediatric radiology (9) pediatrics (18) pelvic MRI (1) pelvis (3) pericallosal lipoma (2) pericardial fat (1) Persistent trigeminal artery (1) Pg entrance (1) phaeochromocytoma (1) pharmaceutical writting (1) Physiatrist (1) Physiatry (1) Physician Assistant (1) pineal tumour (1) placenta accreta (1) placenta increta (1) placental insufficiency (1) plain film teaching files (2) plain x ray (1) Plastic Surgery (1) PM and R Physician (1) pneumococcal pneumonia (1) PNS (1) polycystic kidney disease (1) portal Hypertension (1) posterior circulation stroke (1) power point presentation (1) Price MRI Machines 2017 (1) primary complex (1) privacy policy apk (2) Privacy Policy mri (1) Privacy Policy MSCT Cross Sectional Anatomy (1) Privacy policy physio (1) private practice (2) procedure (8) protected health information (1) pseudobulbar palsy (1) pseudomyxoma peritonei (1) psychiatry (3) publications (1) pulmonary edema (1) pulmonary embolism (1) pulmonary tuberculosis (1) Pulmonology (1) Pulvinar sign (1) Quiz (5) rabbit ear sign (1) rad (1) radiation concern (3) radiographic deterioration pattern (1) radiography (1) radiolo (1) radiologist blogs (1) Radiology (22) Radiology 1 (5) Radiology 11 (2) Radiology 14 (8) Radiology 15 (2) Radiology 17 (6) Radiology 18 (5) Radiology 19 (5) Radiology 2 (4) radiology 2.0 (4) Radiology 20 (5) Radiology 21 (5) Radiology 22 (5) Radiology 23 (5) Radiology 24 (10) Radiology 25 (5) Radiology 26 (6) Radiology 27 (5) Radiology 28 (5) Radiology 29 (6) Radiology 3 (4) Radiology 30 (5) Radiology 31 (6) Radiology 32 (5) Radiology 33 (6) Radiology 34 (4) Radiology 35 (5) Radiology 36 (5) Radiology 37 (5) Radiology 38 (5) Radiology 39 (5) Radiology 4 (4) Radiology 40 (3) Radiology 41 (4) Radiology 42 (4) Radiology 43 (3) Radiology 44 (5) Radiology 45 (5) Radiology 46 (5) Radiology 47 (6) Radiology 48 (5) Radiology 49 (6) Radiology 5 (5) Radiology 50 (6) Radiology 51 (6) Radiology 52 (5) Radiology 53 (5) Radiology 54 (8) Radiology 55 (4) Radiology 56 (4) Radiology 57 (4) Radiology 58 (5) Radiology 59 (4) Radiology 6 (5) Radiology 7 (5) Radiology 8 (4) radiology a (4) radiology business (6) radiology city (1) Radiology Conferences (4) radiology debate (1) Radiology grandrounds (1) radiology humour (2) Radiology Images (4) Radiology images of GI Tract (1) radiology images of spleen (1) Radiology Imaging (3) radiology intervensional (1) Radiology Journal (3) Radiology Journal PDF (2) radiology learning (1) radiology links (4) Radiology mcqs (3) Radiology News (23) Radiology News 2021 (1) Radiology PDF (3) Radiology Price List (1) radiology ramblings (10) radiology search engine (1) radiology spotter (1) radiology spotters (1) Radiology Teaching resource (2) Radiology Today (1) Radiology Top (8) Radiology Updates (1) radiolopolis (1) raditudes (1) random ramblings (9) rathke cleft cyst (1) renal case (4) renal imaging (1) renal sinus tumour (1) Renal Ultrasound (1) residency (10) Retinal Surgery (1) Rheumatology (1) right sided aortic arch (1) robot (1) round cell tumour (1) RTA (2) Ryles tube (1) sacral agenesis (1) salary (20) salary 1 (6) scaphoid fracture (1) schatzki ring (1) scientific content (1) screening (1) search engine (1) secondaries (1) secondary ossification centres (1) Seizure (1) Sellar Masses (1) shoulder arthrogram (2) shoulder dislocation (2) silicosis (1) SKULL (1) Sleep Medicine (1) small bowel (2) social media (2) social networking (3) social radiology (1) soft tissue chondroma (1) solitary pulmonary nodule (1) Sonographic Measurements (5) spectroscopy (1) spinal arachnoid cyst (1) spinal cord tumours (1) spinal osteochondroma (1) spine (4) spine tumour (1) spinoglenoid cyst (1) Sports Medicine (1) sternal tuberculosis (1) stress fracture sacrum (1) Stroke (5) stroke mri (1) sub-acute combined degeneration (1) subclavian pseudoaneurysm (1) Subdural hematoma (1) subependymal giant cell astrocytoma (1) sumer sethi (1) Surgery (1) swyer-james syndrome (1) syringomyelia (1) tb (1) TB Hip (2) TBM (1) teaching video (1) Tech (2) TECHNIQUE (2) technology (3) Telemedicine (4) teleradiolo (1) Teleradiology (25) teleradiology business models (1) Teleradiology Providers (7) teleradproviders (1) teleultrasound (1) temporal bone fracture (1) tendoachilles (1) term (4) testicular tumour (1) tethered cord. MRI (1) Thorax (2) tibial stress fracture (1) total knee arthroplasty (1) total shoulder replacment (1) trachea. (1) tracheal diverticulum (1) tracheal stenosis (1) tracheomalacia (1) training (3) Trauma Surgery (1) traumatic lung cyst (1) TRIANGULAR FIBROCARTILAGE COMPLEX (1) triceps tear (1) trigeminal neuralgia (2) triquetral fracture (1) tubercular abscess (1) tuberculoma (1) tuberculosis (5) tuberculosis elbow (1) tuberous sclerosis (2) ultrasound (18) Ultrasound Hepatitis (5) Ultrasound HIV (1) ultrasound image of The segments of the liver (1) ultrasound images (18) Ultrasound in Emergencies (4) Ultrasound Technique (3) Umbilical vein (1) umblical artery doppler (1) Upper Extremity X Ray (1) UPPER LIMPS (4) URI (1) urogenital imaging (3) Urology (1) uroradiology (1) Usmle (1) vascular malformation (1) Vascular Surgery (1) vasovist (1) venous (2) venous angioma (1) ventriculitis (1) Veteran Affairs (1) VHL (1) video (7) Video Anatomy (1) video ct scan (1) video mri (1) viral encephalitis (1) vitamin deficiency (1) Watching the Detectors (1) web 2.0 (8) weblog (3) X Ray Head (1) X Ray Upper Ext (2) x ray Vertebrae (2) X-RAY (34) xray (9)