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ECR 2019 / C-3301
Acute Pancreatitis in Childhood: Demographic and Radiologic Overview
Congress: ECR 2019
Poster No.: C-3301
Type: Educational Exhibit
Keywords: Inflammation, Diagnostic procedure, Complications, Comparative studies, Ultrasound, MR-Cholangiography, CT, Pancreas, Paediatric, Biliary Tract / Gallbladder
Authors: E. Ayaz, H. N. ÖZCAN, Ö. ÖZKALE YAVUZ, T. Seber, B. Oguz, M. Haliloglu; Ankara/TR
DOI:10.26044/ecr2019/C-3301

Conclusion

  • With increasing prevalence over the years and growing treatment opportunities, recognizing the spectrum of imaging findings of AP and complications is crucial.

  • Pancreaticobiliary ductal anomalies are the most common cause of AP in children for whom the MRCP were performed.
  • Initial US has no findings in more than half of the patients (59.5 %) at the time of the onset of AP
  • CT is more sensitive than US for the diagnosis of AP; however, it has limited potential for evaluation of biliary ductal system which are the most common cause of AP. Moreover, radiation exposure limits its usage for severe disease and complications.
  • We suggest that, MR/MRCP should be preferred as a second option, when initial US is inconclusive, with the advantages of biliary ductal system delineation and better characterization of peripancreatic fluid collections.
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