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

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

Translated title of the contribution: 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

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

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.

Translated title of the contribution	Intense adrenal enhancement in patients with acute pancreatitis and early organ failure.
Original language	Undefined/Unknown
Pages (from-to)	317-322
Number of pages	6
Journal	Emergency Radiology
Volume	14
Issue number	5
Publication status	Published - 2007

Cite this

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

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

year = "2007",

language = "Undefined/Unknown",

volume = "14",

pages = "317--322",

journal = "Emergency Radiology",

issn = "1070-3004",

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TY - JOUR

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 - 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.

AB - 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.

M3 - Article

SN - 1070-3004

VL - 14

SP - 317

EP - 322

JO - Emergency Radiology

JF - Emergency Radiology

IS - 5

ER -

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

Abstract

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