RESUMEN
A 62-year-old female patient was admitted for abdominal pain and vomiting. Imaging tests revealed a solid-cystic lesion at the head of the pancreas communicating with the distal bile duct. A Todani type II choledochal cyst was diagnosed with neoplastic degeneration after cytological diagnosis with endoscopic ultrasound-guided puncture. The patient was treated with a cephalic duodenopancreatectomy with curative intention.
Asunto(s)
Quiste del Colédoco/cirugía , Neoplasias Pancreáticas/cirugía , Pancreaticoduodenectomía/métodos , Quiste del Colédoco/diagnóstico por imagen , Quiste del Colédoco/patología , Femenino , Humanos , Laparotomía , Persona de Mediana Edad , Neoplasias Pancreáticas/diagnóstico por imagen , Neoplasias Pancreáticas/patología , Tomografía Computarizada por Rayos X , UltrasonografíaAsunto(s)
Abdomen Agudo/etiología , Enfermedades del Íleon/complicaciones , Neoplasias del Íleon/complicaciones , Válvula Ileocecal , Lipoma/complicaciones , Úlcera/complicaciones , Anciano , Femenino , Humanos , Enfermedades del Íleon/diagnóstico , Neoplasias del Íleon/diagnóstico , Lipoma/diagnóstico , Úlcera/diagnósticoRESUMEN
Acute pancreatitis is common and requires multidisciplinary management. The revised Atlanta classification, published in 2012, defines the terminology necessary to enable specialists from different backgrounds to discuss the morphological and clinical types of acute pancreatitis. Radiologists' role depends fundamentally on computed tomography (CT), which makes it possible to classify the morphology of this disease and to predict its clinical severity by applying imaging severity indices. Furthermore, CT- or ultrasound-guided drainage is, together with endoscopy, the current technique of choice in the initial approach to collections that appear as a complication. This paper aims to disseminate the concepts coined in the revised Atlanta classification and to describe the current role of radiologists in the diagnosis and treatment of acute pancreatitis.