Intense adrenal enhancement in patients with acute pancreatitis and early organ failure

T. L. Bollen; H. C. van Santvoort; M. G. H. Besselink; B. van Ramshorst; H. W. van Es; H. G. Gooszen

doi:https://doi.org/10.1007/s10140-007-0644-7

Intense adrenal enhancement in patients with acute pancreatitis and early organ failure

T. L. Bollen, H. C. van Santvoort, M. G. H. Besselink, B. van Ramshorst, H. W. van Es, H. G. Gooszen

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11 Citations (Scopus)

Abstract

Intense adrenal enhancement has previously been reported in patients with hypovolemic and septic shock. The purpose of this study was to assess whether this computed tomography (CT) finding is also observed in patients presenting with severe acute pancreatitis and early organ failure. A retrospective analysis of a prospectively collected database was performed. Out of 38 consecutive patients with predicted severe acute pancreatitis, 3 patients showed intense bilateral adrenal enhancement on early CT. All patients had early multiple organ failure and subsequently died. In two cases, pathologic correlation was obtained. Intense adrenal enhancement may be a new prognostic indicator in patients with acute pancreatitis, particularly when organ failure is present at the time of CT examination. Further studies are necessary to confirm this observation

Original language	English
Pages (from-to)	317-322
Journal	Emergency radiology
Volume	14
Issue number	5
DOIs	https://doi.org/10.1007/s10140-007-0644-7
Publication status	Published - 2007

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https://doi.org/10.1007/s10140-007-0644-7

Cite this

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title = "Intense adrenal enhancement in patients with acute pancreatitis and early organ failure",

abstract = "Intense adrenal enhancement has previously been reported in patients with hypovolemic and septic shock. The purpose of this study was to assess whether this computed tomography (CT) finding is also observed in patients presenting with severe acute pancreatitis and early organ failure. A retrospective analysis of a prospectively collected database was performed. Out of 38 consecutive patients with predicted severe acute pancreatitis, 3 patients showed intense bilateral adrenal enhancement on early CT. All patients had early multiple organ failure and subsequently died. In two cases, pathologic correlation was obtained. Intense adrenal enhancement may be a new prognostic indicator in patients with acute pancreatitis, particularly when organ failure is present at the time of CT examination. Further studies are necessary to confirm this observation",

author = "Bollen, {T. L.} and {van Santvoort}, {H. C.} and Besselink, {M. G. H.} and {van Ramshorst}, B. and {van Es}, {H. W.} and Gooszen, {H. G.}",

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T1 - Intense adrenal enhancement in patients with acute pancreatitis and early organ failure

AU - Bollen, T. L.

AU - van Santvoort, H. C.

AU - Besselink, M. G. H.

AU - van Ramshorst, B.

AU - van Es, H. W.

AU - Gooszen, H. G.

PY - 2007

Y1 - 2007

N2 - Intense adrenal enhancement has previously been reported in patients with hypovolemic and septic shock. The purpose of this study was to assess whether this computed tomography (CT) finding is also observed in patients presenting with severe acute pancreatitis and early organ failure. A retrospective analysis of a prospectively collected database was performed. Out of 38 consecutive patients with predicted severe acute pancreatitis, 3 patients showed intense bilateral adrenal enhancement on early CT. All patients had early multiple organ failure and subsequently died. In two cases, pathologic correlation was obtained. Intense adrenal enhancement may be a new prognostic indicator in patients with acute pancreatitis, particularly when organ failure is present at the time of CT examination. Further studies are necessary to confirm this observation

AB - Intense adrenal enhancement has previously been reported in patients with hypovolemic and septic shock. The purpose of this study was to assess whether this computed tomography (CT) finding is also observed in patients presenting with severe acute pancreatitis and early organ failure. A retrospective analysis of a prospectively collected database was performed. Out of 38 consecutive patients with predicted severe acute pancreatitis, 3 patients showed intense bilateral adrenal enhancement on early CT. All patients had early multiple organ failure and subsequently died. In two cases, pathologic correlation was obtained. Intense adrenal enhancement may be a new prognostic indicator in patients with acute pancreatitis, particularly when organ failure is present at the time of CT examination. Further studies are necessary to confirm this observation

U2 - https://doi.org/10.1007/s10140-007-0644-7

DO - https://doi.org/10.1007/s10140-007-0644-7

M3 - Article

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SN - 1070-3004

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SP - 317

EP - 322

JO - Emergency radiology

JF - Emergency radiology

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