Hereditary pancreatitis other imaging findings: Difference between revisions
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==Overview== | ==Overview== | ||
Other imaging findings may include [[MRCP]], [[ERCP]], and [[endoscopic]] [[ultrasonography]]. [[Magnetic resonance cholangiopancreatography|MRCP]] is the diagnostic study of choice. [[Magnetic resonance cholangiopancreatography|MRCP]] findings suggestive of chronic pancreatitis may include calcifications and [[pancreatic duct]] obstruction. [[Endoscopic retrograde cholangiopancreatography|ERCP]] findings diagnostic of chronic pancreatitis may include beaded appearance of the main [[pancreatic duct]] and ectatic side branches from the main [[pancreatic duct]]. Presence of stones is the most predictive finding seen on [[endoscopic]] [[ultrasonography]]. Other findings suggestive of chronic pancreatitis may include visible side branches, [[cysts]], lobularity, an irregular main [[pancreatic duct]], hyperechoic foci, dilation of the main [[pancreatic duct]] and hyperechoic margins of the main [[pancreatic duct]]. Pancreatic function tests may include direct tests such as secretin stimulation tests and indirect tests. | |||
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==Other Imaging Findings== | ==Other Imaging Findings== | ||
* | *Other imaging findings may include: | ||
**[[MRCP]] | |||
**[[ERCP]] | |||
**Endoscopic ultrasonography | |||
====MRCP:==== | |||
*Findings suggestive of chronic pancreatitis may include: | |||
**[[Calcification|Calcifications]] | |||
**Pancreatic duct obstruction | |||
[[Image: Chronic-pancreatitis-chain-of-lakes-1.png|300 px|center|left|frame|Case courtesy of Dr Praveen Jha, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/16287">rID: 16287</a>]] | |||
*[ | ====Endoscopic retrograde cholangiopancreatography (ERCP):==== | ||
**[ | *ERCP is usually done when there is no evidence of | ||
**[[Calcification|Calcifications]] on imaging | |||
**[[Steatorrhea]] | |||
==== Endoscopic ultrasonography (EUS): ==== | |||
EUS findings suggestive of hereditary pancreatitis may include:<ref name="pmid11231386">{{cite journal |vauthors=Wallace MB, Hawes RH, Durkalski V, Chak A, Mallery S, Catalano MF, Wiersema MJ, Bhutani MS, Ciaccia D, Kochman ML, Gress FG, Van Velse A, Hoffman BJ |title=The reliability of EUS for the diagnosis of chronic pancreatitis: interobserver agreement among experienced endosonographers |journal=Gastrointest. Endosc. |volume=53 |issue=3 |pages=294–9 |year=2001 |pmid=11231386 |doi= |url=}}</ref> | |||
*Visible side branches | |||
*[[Cysts]] | |||
*Lobularity | |||
*An irregular main pancreatic duct | |||
*Hyperechoic foci and strands | |||
*Dilation of the main pancreatic duct | |||
*Hyperechoic margins of the main pancreatic duct | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 15:05, 31 January 2018
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Hereditary pancreatitis Microchapters |
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Hereditary pancreatitis other imaging findings On the Web |
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American Roentgen Ray Society Images of Hereditary pancreatitis other imaging findings |
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Risk calculators and risk factors for Hereditary pancreatitis other imaging findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Iqra Qamar M.D.[2]
Overview
Other imaging findings may include MRCP, ERCP, and endoscopic ultrasonography. MRCP is the diagnostic study of choice. MRCP findings suggestive of chronic pancreatitis may include calcifications and pancreatic duct obstruction. ERCP findings diagnostic of chronic pancreatitis may include beaded appearance of the main pancreatic duct and ectatic side branches from the main pancreatic duct. Presence of stones is the most predictive finding seen on endoscopic ultrasonography. Other findings suggestive of chronic pancreatitis may include visible side branches, cysts, lobularity, an irregular main pancreatic duct, hyperechoic foci, dilation of the main pancreatic duct and hyperechoic margins of the main pancreatic duct. Pancreatic function tests may include direct tests such as secretin stimulation tests and indirect tests.
Other Imaging Findings
MRCP:
- Findings suggestive of chronic pancreatitis may include:
- Calcifications
- Pancreatic duct obstruction
Endoscopic retrograde cholangiopancreatography (ERCP):
- ERCP is usually done when there is no evidence of
- Calcifications on imaging
- Steatorrhea
Endoscopic ultrasonography (EUS):
EUS findings suggestive of hereditary pancreatitis may include:[1]
- Visible side branches
- Cysts
- Lobularity
- An irregular main pancreatic duct
- Hyperechoic foci and strands
- Dilation of the main pancreatic duct
- Hyperechoic margins of the main pancreatic duct
References
- ↑ Wallace MB, Hawes RH, Durkalski V, Chak A, Mallery S, Catalano MF, Wiersema MJ, Bhutani MS, Ciaccia D, Kochman ML, Gress FG, Van Velse A, Hoffman BJ (2001). "The reliability of EUS for the diagnosis of chronic pancreatitis: interobserver agreement among experienced endosonographers". Gastrointest. Endosc. 53 (3): 294–9. PMID 11231386.