Evaluation of unusual causes of pancreatitis: Role of cross-sectional imaging

Abstract There are widely diverse causes of pancreatitis. Gallstone and alcohol have been recognized as the most common causes of pancreatitis accounting for 90% of cases. However, acute and chronic pancreatitis may also result from a variety of uncommon causes. The determination of the etiology is...

Full description

Saved in:
Bibliographic Details
Published in:European journal of radiology 2009-08, Vol.71 (2), p.296-312
Main Authors: Kwak, Sang Wook, Kim, Suk, Lee, Jun Woo, Lee, Nam Kyung, Kim, Chang Won, Yi, Mi Seon, Kim, Gwang Ha, Kang, Dae Hwan
Format: Article
Language:English
Subjects:
Biological and medical sciences
Computed tomography
Diagnosis, Differential
Digestive system. Abdomen
Endoscopic ultrasonography
Endoscopy
Etiology
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Investigative techniques, diagnostic techniques (general aspects)
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Medical sciences
Other diseases. Semiology
Pancreatitis
Pancreatitis - diagnosis
Pancreatitis - etiology
Radiology
Rare Diseases - complications
Rare Diseases - diagnosis
Tomography, X-Ray Computed - methods
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract There are widely diverse causes of pancreatitis. Gallstone and alcohol have been recognized as the most common causes of pancreatitis accounting for 90% of cases. However, acute and chronic pancreatitis may also result from a variety of uncommon causes. The determination of the etiology is important for patient management and prevention of recurrence. Sludge is the most common cause of idiopathic or recurrent acute pancreatitis. Endoscopic ultrasonography is considered as the most accurate diagnostic test for this abnormality. Computed tomography (CT) and magnetic resonance imaging (MRI) have only a limited role in the diagnosis of sludge. However, papillitis observed on the contrast-enhanced CT and MR may provide clues to the detection of pancreatitis secondary to sludge, a small stone or a recently passed stone. Radiological studies, clinical presentation and laboratory data can be helpful in determining the etiology of unusual causes of pancreatitis such as anatomic anomalies, autoimmune pancreatitis, groove pancreatitis, and traumatic pancreatitis.
ISSN:0720-048X
1872-7727
DOI:10.1016/j.ejrad.2008.04.006