Journal of AdvancedMedical and Dental Sciences Research

Background: To assess pancreatic pathologies with CT scan. Methodology: 112 patients diagnosed with pancreatic pathologies were subjected to CT scan of the abdomen was performed using Toshiba CT Scanner (128 slices) machine for the acquisition of the CT scan images. Results: Out of 112 patients, males were 70 (62.5%) and females were 42 (37.5%). Grade B had 6 (5.3%), grade C had 12 (10.7%), grade D had 24 (21.4 %) and grade E had 70 (62.5%) patients. A significant difference was found (P< 0.05). In 12 (10.7%) patients, CT severity index was 0 – 3, in 48 (42.8%) 4-6 and in 52 (46.4%) patients CT severity index was between 7 – 10. A significant difference was found (P< 0.05). Pancreatic pathologies were inflammatory in 67 (59.8%), non- inflammatory in 23 (20.5%), congenital in 4 (3.5%), trauma in 10 (8.9%) and miscellaneous lesions in 8 (7.4%) cases. A significant difference was found (P< 0.05). All the cases showed ill-defined margins. Pancreas was shrunken in 100% cases. Ascites was noted in 42% patient. Necrosis was seen in15% patients. Calcification was present in all 10% cases. Main pancreatic duct was dilated in 13% cases. Enlarged lymph nodes were seen in 13% cases and vascular complications was seen in 7% patients. A significant difference was found (P< 0.05). Out of the 10 cases of pancreatic trauma, six (6) cases were of grade 2 and four (4) cases were of grade 4. Other miscellaneous lesions observed were pancreatic cyst in 4, pancreatico- duodenal fistula and fatty replacement of pancreas each in 2 cases. Conclusion: CT is a good modality for pancreatic pathologies and considered to be best option when other investigations fail to detect the pancreatic lesions. CT demonstrates better soft tissue information. The attenuation difference between various soft tissue structures helps in knowing the nature of the lesion.