Point-of-Care Ultrasound in Necrotizing Acute Pancreatitis Complicated by Perforated Ileum Due to Nonocclusive Mesenteric Ischemia

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• 作者：Sonia L&oacute ; pez-Cuenca¹ ; ^{sonia_l_c@hotmail.com" class="auth_mail" title="E-mail the corresponding author} ; Jesú ; s A. Á ; lvarez-Ferná ; ndez¹ ; Javier Martí ; nez-Crespo² ; Jeanneth G. Pilataxi-Cajamarca¹ ; Mª ; Fernanda Cedeñ ; o Poveda²
• 关键词：necrotizing ; pancreatitis ; peritonitis ; ultrasound
• 刊名：Journal of Medical Ultrasound
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：24
• 期：3
• 页码：117-120
• 全文大小：866 K

文摘

Necrotizing acute pancreatitis is the most severe form of pancreatitis, and it is a potentially life-threatening condition. Its diagnosis and severity are based on radiological signs. Although computed tomography is the most used imaging tool, ultrasound can be a quick and useful technique in emergency and intensive care scenarios. The use of abdominal ultrasound is generally limited to ruling out cholecystitis. Bowel gas can limit the accuracy of pancreatic imaging. When the pancreas is visualized, ultrasound can reveal pancreatic enlargement, echotextural changes, and peripancreatic fluid. We present a patient with necrotizing pancreatitis who developed peritonitis due to ileal perforation, where the use of ultrasound as a bedside imaging technique was very useful.