Correlation of Clinical, Ultrasound and CT Findings in Patients with Acute Pancreatitis

Acute pancreatitis represents a set of dynamic and systematic and pathophysiological changes which are a result of autodigestive activation of pancreatic proenzyme, within gland parenchyma itself. The goal of the project included to determine the frequency of acute pancreatitis according to sex, age groups and severity of clinical picture. The goal was also to determine an correlation of obtained clinical, biohumoral, ultrasound, and CT (computed tomography) changes in acute pancreatitis, and the course and prognosis of the examined patient`s illness. The project also deals with the correlation of etiologic factors with the course and prognosis of the disease. Methods: This study included 273 patients with acute pancreatitis, classified according Ranson’s criteria, with their clinical, ultrasound, endoscopy, radiology, and CT findings also classified and compared according the severity rate. Results: No differences by the frequency, severity of clinical picture, course, and outcome of the disease between the sexes, (p>0,01), the differences in distribution of frequency are significant when it comes to the etiological factor (p<0,01). A significant correlation is established between severity of a disease by Ranson’s score and ultrasound findings by Balthazar’s score (r= 0,448 P-vrednost=0,0001). The high degree correlation (r=0,778 p=0,0001) is also proved between ultrasound and CT findings by Balthazar’s score in acute pancreatitis. CT finding correlates (r=0,415 p=0,001) with clinical picture of acute pancreatitis. Conclusion: There is a significant correlation of severity a disease by Ranson’s score and ultrasound and CT findings by Balthazar’s score, and Clinic and ultrasound in acute pancreatitis.