FIELD: medicine.
SUBSTANCE: ultrasound examination of the pancreas is performed. The pancreas, the venous confluence of splenic and mesenteric veins, the splenic vein are identified through the anterior abdominal wall. The following zones are examined: the zone bounded by the anterior surface of the pancreas head and isthmus; the zone located between the posterior surface of the pancreas isthmus and body, on one side, and the anterior wall of the venous confluence of splenic and mesenteric veins, and the splenic vein, on the other side; the zone located between the medial surface of the pancreas head, in the zone of transition to the hook-shaped process and the right wall of venous confluence; the zone located between the posterior wall of the venous confluence of splenic and mesenteric veins, and the anterior surface of the hook-shaped process of the pancreas head transiting into the posterior wall of the splenic vein. If a hypoechogenic area is revealed in tissues 2 mm thick and 5 mm long in at least one of the examined zones, acute pancreatitis is diagnosed.
EFFECT: method provides an objective diagnosis of acute pancreatitis due to identification of permanent ultrasound signs specific only for acute pancreatitis and appearing in the first hours of the disease.
2 dwg, 4 ex
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Authors
Dates
2017-06-16—Published
2016-05-19—Filed