Ratobyl'skiĭ G V, Lobkov V E, Vasil'kova T A, Annushkin N N
Vestn Rentgenol Radiol. 1993 Jul-Aug(4):30-4.
The left kidney and pararenal connective tissue were involved in the process in 3 cases of 5 with caudal pancreatitis complications. A complex of radiodiagnostic methods including, besides x-ray examinations, ultrasonic method and computer-aided tomography, was used to detect the routes of exudate dissemination from the caudal portion of the pancreas into cellular spaces. If a destructive or interstitial form of chronic pancreatitis is detected, radiation screening of all the possible routes of the exudate dissemination (omental sac, left subdiaphragmatic space, left pararenal area, and the lateral canal) is recommended. Detection of pathologic formation in these areas implies thorough examinations of the pancreas making use of x-ray, ultrasonic, and endoscopic methods to rule out or confirm pancreatitis.
在5例伴有胰尾炎并发症的病例中，有3例左侧肾脏和肾旁结缔组织受累。除了X线检查外，还采用了包括超声检查和计算机断层扫描在内的一系列放射诊断方法，以检测胰腺尾部渗出液扩散至细胞间隙的途径。如果检测到慢性胰腺炎的破坏性或间质性形式，建议对渗出液扩散的所有可能途径（网膜囊、左膈下间隙、左肾旁区域和外侧管）进行放射学筛查。在这些区域检测到病理性病变意味着要利用X线、超声和内镜检查方法对胰腺进行全面检查，以排除或确诊胰腺炎。
