1) Understand the working party classification of acute pancreatitis. 2) Appreciate the difference between peripancreatic and pancreatic necrosis. 3) Have an understanding of how imaging findings affect endoscopic and surgical management of severe acute pancreatitis.
In the least 10 years, there have been many new developments in the diagnosis and treatment of severe acute pancreatitis. The concept of peripancreatic necrosis is one. Imaging findings that differentiate peripancreatic necrosis from acute inflammatory collections have been described. Correct image interpretation is important since the former is usually treated more aggressively than the latter. Disconnection of the main pancreatic duct is another finding that may be identified by imaging. This has implications in the subacute stages of severe acute pancreatitis, usually requiring extensive endoscopic or operative intervention in the months after the initial episode. This presentation will review these topics, with appropriate illustrative radiologic cases.
Sandrasegaran, K,
Acute Pancreatitis. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14000550.html
