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Κ. Βασιλειάδης και συν. Λιπώδης διήθηση του παγκρέατος: Διερεύνηση με την αξονική τομογραφία
puted Tomography.
Purpose:
The importance of computed tomography
in imaging, studying, and differential diagnosis of fatty
infiltration of the pancreas from other pathological
situations.
Material- Methods:
We have studied 98 patients
the last two years with fatty infiltration of their pancreas.
45 of them were female and 53 were male, within
43 and 72 years old. Α computed tomography has
been performed in PICKER PQ 5000 και Philips iCT
256 sections scanners before and after intravenous
injection of iodin shade.
Results:
The fatty infiltration of the pancreas is
classified in three types. In type I the fatty infiltration
is diffuse and only the posterior segment of pancreatic
head is normal. In type II only one small area around
the common bile duct is spared from fatty replacement.
These two types could be further subclassified in two
subtypes: subtype A, where the body and the tail of
the pancreas spared from fat and subtype B, where
the body and the tail showed fatty replacement. In
type III the whole pancreas is fat infiltrated.
From the 98 patients that we studied, 32 had type
IA fatty infiltration (33%), 35 had type IB (36%), 11
had type IIΑ (11%), 16 had type IIΒ (17%) and 4 had
type ΙΙΙ (3%).
Conclusions:
Computed tomography is the
gold standard method for studying, evaluating and
differential diagnosing fatty infiltration of the pancreas
from other conditions and it’s a condition that seems
to respect in most cases the posterior segment of the
pancreas head and a small area around the common
bile duct.
Keywords:
fatty infiltration, posterior segment of pancreas
head, pancreatic duct, pseudo-tumors of pancreas.
Radiology Department of Papageorgion Hospital,
Thessaloniki.
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