Vascular complications in cases of acute pancreatitis - CT scan based study
Moinuddin Ahmed1, Muhammad Usman Aziz1, Muhammad Ayub Mansoor1
1Department of Radiology, Liaquat National Hospital, Karachi, Pakistan.
Insights
Vascular complications, including splanchnic vein thrombosis, occurred in 11.4% of acute pancreatitis patients. While the incidence of vascular thrombosis was low, it remains a notable complication in severe acute pancreatitis cases.
Area of Science:
- Gastroenterology and Hepatology
- Vascular Surgery
- Radiology
Background:
- Acute pancreatitis is an inflammatory condition of the pancreas.
- Vascular complications, such as thrombosis, can arise in patients with acute pancreatitis.
- Understanding the incidence of these complications is crucial for patient management.
Purpose of the Study:
- To determine the incidence of vascular complications in patients diagnosed with acute pancreatitis.
- To identify the specific vessels most commonly affected by thrombosis in this patient cohort.
Main Methods:
- Retrospective, cross-sectional study design.
- Data collected from computerized records and CT scans at Liaquat National Hospital.
- Study period: October 2012 to October 2014, including 210 patients with pancreatitis.
Main Results:
- A total of 210 patients were analyzed (46.19% male, 53.81% female).
- Vascular complications, specifically splanchnic vasculature thrombosis, were observed in 11.4% of patients.
- The splenic vein was the most frequently thrombosed vessel (70.8%), followed by the portal vein (45.8%) and superior mesenteric vein (16.7%).
Conclusions:
- The incidence of vascular thrombosis in acute pancreatitis is low but significant.
- Splanchnic vein thrombosis is a recognized complication, particularly in severe cases of acute pancreatitis.
- Further research may be warranted to explore risk factors and management strategies.
Objective:
To record the incidence of vascular complications in cases of acute pancreatitis.
Methods:
This retrospective, cross-sectional study was performed at the Liaquat National Hospital, Karachi, from October 31, 2012 to October 31, 2014, and comprised computerised records and computerised tomography scan images related to cases of pancreatitis.
Results:
Of the 210 patients included, 97(46.19%) were men and 113(53.81%) were women. A total of 24(11.4%) patients had thrombosis of splanchnic vasculature, of which the most frequently thrombosed vessel was the splenic vein, in 17(70.8%) patients; followed by the portal vein, 11(45.8%); and the superior mesenteric vein,4(16.7%).
Conclusions:
The incidence of vascular thrombosis was low, but not uncommon in patients of severe acute pancreatitis.
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