ATYPICAL PSEUDOCYSTS OF THE PANCREAS - ULTRASONOGRAPHIC EVALUATION

被引:36
作者
LAING, FC
GOODING, GAW
BROWN, T
LEOPOLD, GR
机构
[1] Departments of Radiology, University of California School of Medicine, San Francisco General Hospital
[2] Veterans Administration Hospital, California and Department of Radiology, San Francisco, California
[3] Department of Radiology, University of California, School of Medicine, San Diego
关键词
Diagnostic Ultrasound; Pancreas; Pancreatic Inflammatory Disease; Pseudocyst;
D O I
10.1002/jcu.1870070110
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
Ultrasonograms of most pseudocysts have a typical appearance — sharply defined, smooth wall, ovoid, located in the region of the pancreas. However, in reviewing the sonographic appearance of pseudocysts, other ultrasonographic characteristics may occasionally be encountered. Eleven patients with atypical pseudocysts are presented. The demonstration of multiple septations, multiple echoes within a sonolucent mass, and even failure to enhance posteriorly should not exclude the diagnosis of pancreatic pseudocyst in the proper clinical setting. The value of serial scans is also stressed. In this series, it was possible to suggest the diagnosis of infection, hemorrhage, and rupture of pseudocysts by demonstrating cysts with more typical appearances on prior examinations. Copyright © 1979 Wiley Periodicals, Inc., A Wiley Company
引用
收藏
页码:27 / 33
页数:7
相关论文
共 26 条
  • [1] Anderson MC, Management of pancreatic pseudocysts, Am J Surg, 123, (1972)
  • [2] Rosch J, Roentgenology of the Spleen and Pancreas, (1969)
  • [3] Thomford NR, Jesseph JE, Pseudocyst of the pancreas. A review of fifty cases, Am J Surg, 118, (1969)
  • [4] van Heerden JA, ReMine WH, Pseudocysts of the pancreas. Review of 71 cases, Arch Surg, 110, (1975)
  • [5] Sankaran S, Walt AJ, The natural and unnatural history of pancreatic pseudocysts, Br J Surg, 62, (1975)
  • [6] Rosenberg IK, Kahn JA, Walt AJ, Surgical experience with pancreatic pseudocysts, Br J Surg, 62, (1975)
  • [7] Gonzalez AC, Bradley EL, Clements JL, Pseudocyst formation in acute pancreatitis: Ultrasonographic evaluation of 99 cases, Am J Roentgenol, 127, (1976)
  • [8] Leopold GR, Pancreatic echography: A new dimension in the diagnosis of pseudocyst, Radiology, 104, (1972)
  • [9] Bradley EL, Clements JR, Implications of diagnostic ultrasound in the surgical management of pancreatic pseudocysts, Am J Surg, 127, (1974)
  • [10] Hancke S, Ultrasonic scanning of the pancreas, J Clin Ultrasound, 4, (1976)