1Assistant Professor, Dept.of Surgery, Bangalore Medical College, Karnataka, India
2Professor, Dept.of Surgery, Bangalore Medical College, Karnataka, India
3Senior Resident, Pgimer, Dr RML Hospital, Pediatrics, New Delhi
The incidence of acute pancreatitis is significantly rising within the last few years. The aim is the study of etiological spectrum, clinical, laboratory and ultrasound findings in patients with acute pancreatitis.
It is a cross sectional study involving 60 patients diagnosed with acute Pancreatitis patients admitted to Victoria and Bowring and Lady Curzon Hospital between November 2013 and May 2015. Patients with acute pancreatitis, classified according Ranson's criteria, with their clinical and ultrasound and compared according the severity rate.
All patients presented with pain abdomen whereas only 81.66% of the patients presented with vomiting. Among cases, 75% of the patients were alcoholics and 46.66% of the patients were smokers. Among cases, 5% of the patients were diabetic, 5% of the patients were hypertensive, 3.33% of the patients had IHD and 10% of the patients were obese. Ultrasound of the abdomen showed diffusely enlarged and hypoechoic pancreas in 51.7% of the patients, diffusely enlarged and hypoechoic pancreas with cholelithiasis in 8.3% of the patients and pancreas obscured by bowel gas in 40% of the patients.
early aggressive supportive care improves outcomes; attempts have been made to identify clinical parameters that predict patients at higher risk of developing severe outcomes.
Ultrasound, pancreatitis, etiology, Ranson score, Bangalore