eMedicine Specialties > Radiology > Gastrointestinal
Pancreatitis, Chronic: Multimedia
Updated: Mar 12, 2009
Multimedia
 | Media file 1: Chronic pancreatitis. Plain abdominal radiograph shows coarse calcification in the distribution of the pancreas due to chronic calcific pancreatitis. |
 | Media file 2: Chronic pancreatitis. Plain abdominal radiograph shows calcification in the pancreas associated with osteomalacia secondary to malabsorption. Note the pseudofracture in the right 11th rib (arrow). |
 | Media file 3: Chronic pancreatitis. Upper gastrointestinal tract barium study shows a reverse 3 in the duodenum due to chronic pancreatitis. Pancreatic carcinoma can have a similar appearance. |
 | Media file 4: Chronic pancreatitis. Nonenhanced axial CT scan through the pancreas shows granular calcification in the pancreas. |
 | Media file 5: Chronic pancreatitis. Enhanced axial CT scan through the pancreas shows a low-attenuating mass at the junction of the head and body of the pancreas due to focal chronic noncalcific pancreatitis. |
 | Media file 6: Chronic pancreatitis. Enhanced axial CT scan through the pancreas (in the same patient as in Image 5) shows a mildly dilated pancreatic duct. |
 | Media file 7: Chronic pancreatitis. Nonenhanced axial CT scan through the pancreas shows granular calcification in the pancreas, associated with a 4-cm pseudocyst to the right of the head of the pancreas. |
 | Media file 8: Chronic pancreatitis. Nonenhanced axial CT scan through the pancreas shows a reverse 3 in the Gastrografin-filled duodenum. Note the patchy attenuation in the head of the pancreas. A contrast-enhanced study was not performed because the patient was allergic to intravenous iodinated contrast material. |
 | Media file 9: Chronic pancreatitis. Transaxial T2-weighted MRI scan through the tail of the pancreas shows a dilated tortuous pancreatic duct (arrow). |
 | Media file 10: Chronic pancreatitis. Endoscopic retrograde cholangiopancreatogram shows a dilated common bile duct (CBD) associated with a stricture of the lower CBD (not well shown on this image) and a dilated ectatic tortuous pancreatic duct (in the same patient as in Images 11-12). A stent was subsequently placed across the CBD stricture. |
 | Media file 11: Chronic pancreatitis. Magnetic resonance cholangiopancreatogram (in the same patient as in Images 10 and 12) obtained 24 hours after the placement of a common bile duct stent shows good biliary drainage through the stent. Note the dilated tortuous pancreatic stricture and a downstream stricture in the head of the pancreas (left). |
 | Media file 12: Chronic pancreatitis. Plain abdominal radiograph (in the same patient as in Images 10-11 in Multimedia) shows a common bile duct stent in situ and fairly extensive pancreatic calcification. |
 | Media file 13: Chronic pancreatitis. Transverse sonogram shows an echogenic, enlarged pancreas with multiple small hyperechoic nonshadowing foci in the pancreas (in the same patient as in Images 14-15 in Multimedia). |
 | Media file 14: Chronic pancreatitis. Longitudinal sonogram through the head of the pancreas (in the same patient as in Images 13 and 15 in Multimedia) shows an echogenic pancreas with multiple, small, hyperechoic, nonshadowing foci. |
 | Media file 15: Chronic pancreatitis. Nonenhanced axial CT scan through the pancreas (in the same patient as in Images 13-14) shows an enlarged pancreas associated with punctate calcification. |
 | Media file 16: Chronic pancreatitis. A 52-year-old woman known to have chronic pancreatitis (same patient as in Images 17-19 in Multimedia) presented with moderate left upper quadrant pain. Transverse sonogram through the pancreas shows a 4.37-cm pseudocyst in the tail of the pancreas (arrow). |
 | Media file 17: Chronic pancreatitis. Longitudinal sonogram (in the same patient as in Images 16, 18, and 19 in Multimedia) shows a pseudocyst at the splenic hilum. Doppler sonogram (not shown) showed no signal in the splenic vein. |
 | Media file 18: Chronic pancreatitis. Manually subtracted celiac-axis angiogram (in the same patient as in Images 16, 17, and 19 in Multimedia) shows stretching of the pancreaticoduodenal artery with arterial tortuosity and a capillary blush in the region of the splenic hilum. These findings are superimposed on the left kidney and suggest an inflammatory mass. |
 | Media file 19: Chronic pancreatitis. Manually subtracted venous-phase celiac-axis angiogram (in the same patient as in Images 16-18 in Multimedia) shows an occluded splenic vein and a large peripancreatic collateral vein that drains into the portal vein. |
More on Pancreatitis, Chronic |
| Overview: Pancreatitis, Chronic |
| Imaging: Pancreatitis, Chronic |
| Follow-up: Pancreatitis, Chronic |
 Multimedia: Pancreatitis, Chronic |
| References |
| Further Reading |
| « Previous Page |
References
Kinney TP, Freeman ML. Approach to acute, recurrent, and chronic pancreatitis. Minn Med. Jun 2008;91(6):29-33. [Medline].
Conwell DL, Banks PA. Chronic pancreatitis. Curr Opin Gastroenterol. Sep 2008;24(5):586-90. [Medline].
Witt H, Apte MV, Keim V, Wilson JS. Chronic pancreatitis: challenges and advances in pathogenesis, genetics, diagnosis, and therapy. Gastroenterology. Apr 2007;132(4):1557-73. [Medline].
Dähnert W. Radiology Review Manual. 6th Edition. Philadelphia, Pa: Wolters Kluwer Health; 2006:741-742.
Strum WB, Spiro HM. Chronic pancreatitis. Ann Intern Med. Feb 1971;74(2):264-77. [Medline].
Lévy P, Hammel P, Ruszniewski P. [Autoimmune pancreatitis.]. Presse Med. May 7 2007;[Medline].
Perkins JD. Optical coherence tomography: Expanding use in the bile duct. Liver Transpl. Apr 24 2007;13(5):765-768. [Medline].
Kim HC, Yang DM, Kim HJ, Lee DH, Ko YT, Lim JW. Computed Tomography Appearances of Various Complications Associated with Pancreatic Pseudocysts. Acta Radiol. Apr 29 2008;1-8. [Medline].
Kim HC, Yang DM, Kim HJ, Lee DH, Ko YT, Lim JW. Computed tomography appearances of various complications associated with pancreatic pseudocysts. Acta Radiol. Sep 2008;49(7):727-34. [Medline].
Kim T, Murakami T, Takamura M, et al. Pancreatic mass due to chronic pancreatitis: correlation of CT and MR imaging features with pathologic findings. AJR Am J Roentgenol. Aug 2001;177(2):367-71. [Medline].
Catalano MF, Sahai A, Levy M, Romagnuolo J, Wiersema M, Brugge W, et al. EUS-based criteria for the diagnosis of chronic pancreatitis: the Rosemont classification. Gastrointest Endosc. Feb 23 2009;[Medline].
Al-Haddad M, Eloubeidi MA. Diagnostic and therapeutic applications of endoscopic ultrasound-guided punctures. Dig Dis. 2008;26(4):390-7. [Medline].
Puli SR, Reddy JB, Bechtold ML, Antillon MR, Brugge WR. EUS-Guided Celiac Plexus Neurolysis for Pain due to Chronic Pancreatitis or Pancreatic Cancer Pain: A Meta-Analysis and Systematic Review. Dig Dis Sci. Jan 10 2009;[Medline].
Van Kouwen MC, Jansen JB, van Goor H, de Castro S, Oyen WJ, Drenth JP. FDG-PET is able to detect pancreatic carcinoma in chronic pancreatitis. Eur J Nucl Med Mol Imaging. Apr 2005;32(4):399-404. [Medline].
Rasmussen I, Sörensen J, Långström B, Haglund U. Is positron emission tomography using 18F-fluorodeoxyglucose and 11C-acetate valuable in diagnosing indeterminate pancreatic masses?. Scand J Surg. 2004;93(3):191-7. [Medline].
Nakamoto Y, Saga T, Ishimori T, Higashi T, Mamede M, Okazaki K. FDG-PET of autoimmune-related pancreatitis: preliminary results. Eur J Nucl Med. Dec 2000;27(12):1835-8. [Medline].
Nakamoto Y, Sakahara H, Higashi T, Saga T, Sato N, Okazaki K. Autoimmune pancreatitis with F-18 fluoro-2-deoxy-D-glucose PET findings. Clin Nucl Med. Oct 1999;24(10):778-80. [Medline].
Patlas M, Deitel W, Taylor B, Gallinger S, Wilson SR. Focal chronic pancreatitis mimicking pancreatic head carcinoma: are there suggestive features on ultrasound?. Can Assoc Radiol J. Feb 2007;58(1):15-21. [Medline].
Alkim H, Gurkaynak G, Sezgin O, et al. Chronic pancreatitis and aortic pseudoaneurysm in Behcet''s disease. Am J Gastroenterol. Feb 2001;96(2):591-3. [Medline].
Bennett GL, Hann LE. Pancreatic ultrasonography. Surg Clin North Am. Apr 2001;81(2):259-81. [Medline].
Cooperman AM. Surgery and chronic pancreatitis. Surg Clin North Am. Apr 2001;81(2):431-55. [Medline].
Eerens I, Vanbeckevoort D, Vansteenbergen W, Van Hoe L. Autoimmune pancreatitis associated with primary sclerosing cholangitis: MR imaging findings. Eur Radiol. 2001;11(8):1401-4. [Medline].
Elmas N. The role of diagnostic radiology in pancreatitis. Eur J Radiol. May 2001;38(2):120-32. [Medline].
Etemad B, Whitcomb DC. Chronic pancreatitis: diagnosis, classification, and new genetic developments. Gastroenterology. Feb 2001;120(3):682-707. [Medline].
Irie H, Honda H, Kuroiwa T, et al. Measurement of the apparent diffusion coefficient in intraductal mucin- producing tumor of the pancreas by diffusion-weighted echo-planar MR imaging. Abdom Imaging. Jan 2002;27(1):82-87. [Medline].
Ito K, Koike S, Matsunaga N. MR imaging of pancreatic diseases. Eur J Radiol. May 2001;38(2):78-93. [Medline].
Megibow AJ, Lavelle MT, Rofsky NM. MR imaging of the pancreas. Surg Clin North Am. Apr 2001;81(2):307-20, ix-x. [Medline].
Prasad SR, Sahani D, Saini S. Clinical applications of magnetic resonance cholangiopancreatography. J Clin Gastroenterol. Nov-Dec 2001;33(5):362-6. [Medline].
Sakorafas GH, Farnell MB, Nagorney DM, Sarr MG. Surgical management of chronic pancreatitis at the Mayo Clinic. Surg Clin North Am. Apr 2001;81(2):457-65. [Medline].
Shams J, Stein A, Cooperman AM. Computed tomography for pancreatic diseases. Surg Clin North Am. Apr 2001;81(2):283-306. [Medline].
Takase M, Suda K. Histopathological study on mechanism and background of tumor-forming pancreatitis. Pathol Int. May 2001;51(5):349-54. [Medline].
Vlodov J, Tenner SM. Acute and chronic pancreatitis. Prim Care. Sep 2001;28(3):607-28, vii. [Medline].
Wallace MB, Hawes RH. Endoscopic ultrasound in the evaluation and treatment of chronic pancreatitis. Pancreas. Jul 2001;23(1):26-35. [Medline].
Further Reading
Related eMedicine topics
Pancreatitis Chronic (from Gastroenterology)
Pancreatitis (from Emergency Medicine)
Pancreatitis and Pancreatic Pseudocyst
Autoimmune Pancreatitis
Pancreatitis, Acute
Clinical guidelines
The Role of Endoscopy in Patients With Chronic Pancreatitis
Operative Treatment for Chronic Pancreatitis
Clinical trials
Role of Antioxidants Supplementation in Chronic Pancreatitis
The Incretin Effect in Patients With Chronic Pancreatitis
Keywords
chronic pancreatitis, pancreatitis, pancreas, chronic calcifying pancreatitis, chronic obstructive pancreatitis, chronic inflammatory pancreatitis, pancreatic dysfunction, alcoholic pancreatitis, calcific pancreatitis, obstructive pancreatitis, inflammatory pancreatitis, pancreatic pseudotumor, autoimmune pancreatitis.
