MIRA3004 Lecture Notes - Lecture 4: Common Bile Duct, Acute Pancreatitis, Pancreatic Duct
5 Aug 2018
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Document Summary
When protein and lipid digestive enzymes become activated within pancreas and begin to digest the organ itself. Main cause: alcohol consumption; sometimes is related to gallstone where there is an obstruction of ampulla of vater. Groove pancreatitis is a segmental chronic pancreatitis that affects the anatomical are between the pancreatic head, the duodenum and the common bile duct, referred to as the groove area. X-ray: no obvious signs except sometimes a localised adynamic ileus and gas in bowel or calcification in pancreas. Ct: shows diffuse or focal enlargement and the edema obscures the soft tissue (better modality than. Us: 30% of the cases, pancreatic enlargement and decreased parenchymal echogenicity due to interstitial edema may be seen. It has technical limitations related to paralytic ileus accompanying in the first 48 hours of the disease. Mri: in acute pancreatitis using dynamic imaging after iv gadolinium gives the extent of the necrosis and the full range of the inflammatory extension.
