Frija J, Abanou A, Viandier A, Laval-Jeantet M
J Radiol. 1983 Aug-Sep;64(8-9):483-8.
90 computed tomographic examinations were performed to 57 patients referred at Hospital Saint-Louis for an acute pancreatitis. 32 patients were operated or autopsied. Among these 32 patients, 19 patients had 21 examinations before surgery or autopsy; the other 13 patients had their computed tomographic examinations after one or more surgical procedures. During a severe acute pancreatitis the pancreas is always large either locally or diffusely. A pancreatic reaction is visible around and possibly at distance of the pancreas. When extraluminal gas is visible (3/5) it signifies gangrenous pancreatitis but it is necessary to eliminate a digestive fistulous tract and/or a communication between a pseudocyst and the digestive tract. Except gangrenous it is not possible to precise the nature of pancreatic reaction. The diagnosis of pseudocyst was easy 9/10, difficult 1/10; we did a false positive diagnosis of pseudocyst. Computed tomography and ultrasounds were compared in ten patients for the search of gallbladder lithiasis. Computed tomography can show large and small (2/4) biliary calculus in the gallbladder that cannot be shown by ultrasounds. A normal pancreas in a normal retroperitoneal space exclude the diagnosis of a severe acute pancreatitis. CT aspects of acute pancreatitis must be considered as a good diagnostic test of an acute pancreatitis.
对圣路易医院收治的57例急性胰腺炎患者进行了90次计算机断层扫描检查。32例患者接受了手术或尸检。在这32例患者中，19例在手术或尸检前进行了21次检查；另外13例患者在一次或多次外科手术后进行了计算机断层扫描检查。在严重急性胰腺炎期间，胰腺总是局部或弥漫性肿大。胰腺周围甚至可能在胰腺一定距离处可见胰腺反应。当可见腔外气体（3/5）时，表示坏疽性胰腺炎，但必须排除消化瘘管和/或假性囊肿与消化道之间的连通。除坏疽性外，无法明确胰腺反应的性质。假性囊肿的诊断9/10容易，1/10困难；我们对假性囊肿进行了假阳性诊断。对10例患者的胆囊结石检查进行了计算机断层扫描和超声检查的比较。计算机断层扫描可以显示胆囊内大小不等（2/4）的胆结石，而超声无法显示。正常腹膜后间隙中的正常胰腺可排除严重急性胰腺炎的诊断。急性胰腺炎的CT表现应被视为急性胰腺炎的良好诊断方法。
