ABSTRACT
Introduction: CECT is very accurate and sensitiveinvestigation in evaluating the severity of acute pancreatitisand the associated complications.With the help of CT, wecan manage the patient of acute pancreatitis by categorisingthem into mild, moderate and severe cases according tomodified CT severity index and predict the clinical outcomeas well. CT mainly detects the associated complication suchas sterile or necrotic fluid collection, pseudocyst fomation,walled off necrosis, pleural effusion, liver cirrhosis mainlyin chronic alcoholic patients vascular complications at earlystage.Aim: To study the role of computed tomography in predictingseverity of acute pancreatitis and its correlation with clinicaloutcome.Material and Methods: The Study was carried out atDepartment of Radio Diagnosis, Krishna Institute of MedicalScience, Karad, Maharashtraamong 46 cases of acutepancreatitis.Result: The mean age of participants in the present study wasobserved to be 35.95 years. Majority were males (39, 84.78%)and 7 were females (15.22%), with male: female ratio of 1:0.18.The majority of the cases (78.29%) were alcoholic while 10cases were non alcoholic. Cases associated with Gall stoneswere21.73% 95.65% cases presented with abdominal pain.Based on Computed Tomography (CT) findings, we found63% patients with acute interstitial edematous pancreatitis and37% patients with acute necrotic pancreatitis among 46 cases.When we evaluated Modified CT Severity index among thestudy cases, we observed that 19.56% cases have mild index,majority (56.52% cases) have moderate index while 23.91%cases have severe index. We also found that majority ofpercentage of cases clinically cured and discharged i.e. 47.82%. 19.56% of the total study subjects reported recurrence ofepisodes of pancreatitis, while 30.43% of the total patientsturned into chronic pancreatitis.Conclusion: Computed tomography can be used to knowthe extent of disease within pancreatic parenchyma andto diagnose associated complications, at early stage.It canassess severity of acute pancreatitis and forecast progress ofpancreatitis.