Walled-off pancreatic necrosis and other current concepts in the radiological assessment of acute pancreatitis

Radiologia brasileira
Elen Freitas de Cerqueira CunhaRonaldo Hueb Baroni

Abstract

Acute pancreatitis is an inflammatory condition caused by intracellular activation and extravasation of inappropriate proteolytic enzymes determining destruction of pancreatic parenchyma and peripancreatic tissues. This is a fairly common clinical condition with two main presentations, namely, endematous pancreatitis - a less severe presentation -, and necrotizing pancreatitis - the most severe presentation that affects a significant part of patients. The radiological evaluation, particularly by computed tomography, plays a fundamental role in the definition of the management of severe cases, especially regarding the characterization of local complications with implications in the prognosis and in the definition of the therapeutic approach. New concepts include the subdivision of necrotizing pancreatitis into the following presentations: pancreatic parenchymal necrosis with concomitant peripancreatic tissue necrosis, and necrosis restricted to peripancreatic tissues. Moreover, there was a systematization of the terms acute peripancreatic fluid collection, pseudocyst, post-necrotic pancreatic/peripancreatic fluid collections and walled-off pancreatic necrosis. The knowledge about such terms is extremely relevant to standardize t...Continue Reading

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Citations

May 20, 2015·Radiologia brasileira·Priscila GavaRaissa Dantas Batista Rangel
Mar 24, 2015·Radiologia brasileira·Alexandre Dias MançanoGustavo Gomides Macedo
Mar 6, 2015·Radiologia brasileira·Misael Gadelha TerceiroEdson Marchiori
Apr 29, 2021·Arquivos De Gastroenterologia·José Roberto AlvesMarcelo Bianchini Teive

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