Revision 10 for 'Necrotizing pancreatitis'

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Necrotizing pancreatitis

Necrotizing pancreatitis (NP) represents the severe form of pancreatitis. It is usually represents an acute pancreatitis as necrosis usually tends to occurs early, (within the first 24-48 hours 2) but can also rarely occur with subacute forms.

A key feature is a significant amount of pancreatic gland necrosis associated with the pancreatitis.

Radiographic features

CT

Areas of necrosis are seen as non-enhancing low attenuating regions within the pancreas, but observed if a dual phase pancreatic study is performed. Foci of gas may also be present in more extreme cases.

Treatment and prognosis

The presence of necrosis implies a poorer prognosis with mortality rates reported up to 14% 3.

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