Complications in AP

Pseudocysts are fluid collections with a noticeable capsule. They typically develop 4-5 weeks after the onset of AP. On US, Ct and MRI, they present a typical cyst-like

Table 3. CT grading in acute pancreatitis (according to Balthazar)

Grade CT findings A Normal

B Focal (~ 20%), diffuse enlargement of the gland, irregu lar contour, inhomogeneous density C Grade B + inflammation in peripancreatic fat

D Small, mostly occasionally fluid collections or phlegmon

E Two or more fluid collections, gas within the pancreas or retroperitoneum

Table 4. 'Classic' and modified CT severity index

CT Severity Index

Points

Modified CT Severity Index

Points

Pancreatic inflammation

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