The pancreas, a complex organ with endocrine and exocrine functions, is challenging to evaluate clinically. It functions as an exocrine gland for digestion and an endocrine gland for hormone production. Acute pancreatitis is an inflammatory process. Ultrasonography and computed tomography offer rapid, accurate and non‐invasive evaluations, but ultrasonography has limitations in obese patients and those with large bowel gas. To assess the role of ultrasonography and CT whole abdomen in the evaluation of acute pancreatitis. This cross‐sectional institutionbased observational study will be conducted for one‐year duration at the Dept. of Radiodiagnosis on 50 patients of all age groups referred from the Dept. of General Surgery NBMCH, Sushrutanagar, Darjeeling and West Bengal. In our study, 21 (42%) patients had peripancreatic Fluid Collection Detected by USG and 41 (82%) patients had peripancreatic Fluid Collection Detected by CT. Association between peripancreatic Fluid Collection with USG and CT was statistically significant (p=0.00003). In our study, 5 (10.0%) patients had Mild Modified CTSI, 32 (64.0%) patients had Moderate Modified CTSI and 13(26.0%) patients had severe Modified CTSI. The value of z is 5.5923. The value of p is <.00001. The result is significant at p<.05. Ultrasonography is a cost‐effective, non‐invasive method for early pancreatic screening, detecting fluid collections and pancreatic necrosis. CT detection increases pancreatic fluid collection. The choice between US and CT depends on patient features, clinical situation and resources. A multi modal approach may be necessary for comprehensive examination.
Biraj Roy, Amarendra Nath Sarkar and Debasish Dey. Comparative Study of Ultrasonography and Computed Tomography in Diagnosis of Acute Pancreatitis.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.288.293
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.288.293