TY - JOUR
T1 - Acute pancreatitis in children
T2 - CT findings of intra- and extrapancreatic fluid collections
AU - King, Linda R.
AU - Siegel, Marilyn J.
AU - Balfe, Dennis M.
PY - 1995/4
Y1 - 1995/4
N2 - PURPOSE: To determine the location and importance of fluid collections in children with acute pancreatitis. MATERIALS AND METHODS: The authors retrospectively reviewed the abdominal computed tomographic (CT) scans of 28 children with acute pancreatitis. CT scans were evaluated for pancreatic size and distribution of intra- and extrapancreatic fluid collections. Extrapancreatic fluid was classified as (a) peritoneal, (b) retroperitoneal, (c) mesenteric, or (d) ligamentous. RESULTS: Fourteen children (50%) had complicated pancreatitis associated with fluid collections. Intrapancreatic fluid was identified in only two patients (7%), whereas extrapancreatic fluid was seen in 14 (50%). Extrapancreatic fluid was most often seen in the anterior pararenal space, followed by the lesser sac, lesser omentum, and transverse mesocolon. The fluid collections diminished spontaneously in 11 patients (78%). Three patients with persistent fluid collections required surgical intervention for associated abnormalities. CONCLUSION: Intrapancreatic fluid collections are rare in children with pancreatitis. Extrapancreatic fluid collections tend to be extensive, but most diminish spontaneously.
AB - PURPOSE: To determine the location and importance of fluid collections in children with acute pancreatitis. MATERIALS AND METHODS: The authors retrospectively reviewed the abdominal computed tomographic (CT) scans of 28 children with acute pancreatitis. CT scans were evaluated for pancreatic size and distribution of intra- and extrapancreatic fluid collections. Extrapancreatic fluid was classified as (a) peritoneal, (b) retroperitoneal, (c) mesenteric, or (d) ligamentous. RESULTS: Fourteen children (50%) had complicated pancreatitis associated with fluid collections. Intrapancreatic fluid was identified in only two patients (7%), whereas extrapancreatic fluid was seen in 14 (50%). Extrapancreatic fluid was most often seen in the anterior pararenal space, followed by the lesser sac, lesser omentum, and transverse mesocolon. The fluid collections diminished spontaneously in 11 patients (78%). Three patients with persistent fluid collections required surgical intervention for associated abnormalities. CONCLUSION: Intrapancreatic fluid collections are rare in children with pancreatitis. Extrapancreatic fluid collections tend to be extensive, but most diminish spontaneously.
KW - Computed tomography (CT), in infants and children
KW - Pancreas, CT
KW - Pancreas, diseases
KW - Pancreatitis
UR - http://www.scopus.com/inward/record.url?scp=0028908688&partnerID=8YFLogxK
U2 - 10.1148/radiology.195.1.7892468
DO - 10.1148/radiology.195.1.7892468
M3 - Article
C2 - 7892468
AN - SCOPUS:0028908688
SN - 0033-8419
VL - 195
SP - 196
EP - 200
JO - Radiology
JF - Radiology
IS - 1
ER -