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acute pancreatitis

Wednesday 11 May 2005

Synopsis

- complications

  • peripancreatic free fluid collections
  • extrapancreatic spread of acute pancreatitis
  • infected or noninfected pseudocysts
  • pancreatic abscess
  • complex cystic structure with internal debris/septations and echogenic gas bubbles
  • vascular pseudoaneurysm
  • acute hemorrhage
  • venous thrombosis
  • associated gastric varices

Etiology

- obstructive (obstruction or overdistension of the pancreatic duct)

  • gallstones migration (60-80% of cases)
  • biliary malformations or pancreatic malformations
    • pancreas divisum
    • choledochocele
  • ampullary tumors or pancreatic tumors

- toxic

- infectious

  • mumps
  • cytomegalovirus (CMV)
  • Epstein-Barr virus
  • varicella
  • rubeola
  • group B coxsackievirus
  • enterovirus
  • enteric cytopathic human orphan virus (ECHO virus)

- dysimmunity

- metabolic

- trauma

  • blunt trauma to the abdomen
  • iatrogenic trauma
    • postoperative trauma
    • endoscopic retrograde cholangiopancreatography

- vascular abnormalities

  • atherosclerotic emboli
  • hypoperfusion
  • vasculitis

- cystic fibrosis
- unknown cause (10-25%)
- orthotopic liver allograft (9523868)

  • emergency liver allograft
  • extensive peripancreatic dissection
  • pancreatic surgical trauma
  • infectious peritonitis

According to age

- pediatric acute pancreatitis

Portfolio

  • Acute necrotizing pancreatitis
  • Acute necrotizing pancreatitis
  • Acute necrotizing pancreatitis
  • Acute necrotizing pancreatitis
  • Acute necrotizing pancreatitis
  • Acute necrotizing pancreatitis