ANGIOGRAPHIC FINDINGS IN PANCREATITIS

¹ From the Departments of Radiology and Medicine, University of Michigan: Wayne County General Hospital, Eloise, Michigan, and University Hospitals, Ann Arbor, Michigan

The angiographic findings in 51 patients with pancreatitis have been evaluated. In 22 per cent, no abnormal angiographic findings were present. In an additional 20 per cent, the only abnormal findings were nonspecific arterial irregularities similar to those seen in atherosclerosis. In the remaining 58 per cent, the diagnosis could be made by the presence of specific arterial changes, increased or irregular parenchymal accumulation of contrast medium or splenic vein narrowing, irregularity or occlusion. Frequently a combination of abnormal findings was present. False positive diagnoses of pancreatitis were rare. In only 1 instance was pancreatitis reported as carcinoma. Correlation of the angiographic findings with the duration and severity of the disease revealed that the findings were related more to the duration of the disease than the acuteness of the inflammation.

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