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Radiology, Vol 146, 151-155, Copyright © 1983 by Radiological Society of North America

ARTICLES

Sonographic findings of pancreatitis in children

AC Fleischer, P Parker, SG Kirchner and AE James Jr

The size and echogenicity of the pancreas was evaluated with real-time and static sonography and correlated in an independent and retrospective manner with amylase values in 17 asymptomatic children, 19 children with acute pancreatitis, and 2 with chronic pancreatitis. A ratio of the greatest anteroposterior dimension of the body of the pancreas relative to the transverse lumbar vertebral body measurement (P/V ratio) greater than 0.3, when associated with a hypoechoic pancreatic parenchyma, was indicative of acute pancreatitis. The predictive value of a positive sonogram was found to be 0.93, whereas the predictive value of a negative sonogram was 0.78. These data indicate that sonography is a useful adjunct to amylase determinations in the detection of pancreatitis in children.


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H. Kotlus Rosenberg and W. Ortega
Hemorrhagic Pancreatitis in a Young Child Following Valproic Acid Therapy: Clinical and Ultrasonic Assessment
Clinical Pediatrics, February 1, 1987; 26(2): 98 - 101.
[Abstract] [PDF]


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