Suspected Pancreatitis

Symptom

suspected pancreatitis

Considerations

• Ultrasound can be used effectively when there is: typical abdominal pain; increased amylase and lipase with high clinical certainty of diagnosis; <48–72 hours after onset of symptoms.
• Otherwise CT or MRI probably most useful to examine for complications, extent of pancreatic damage or other causes. In general, acute pancreatitis workup probably does not need full multiphase pancreatic CT. Oral contrast not usually needed.

Recommended tests

• Ultrasound abdomen complete study
• CT abdomen and pelvis with IV contrast
• MRCP with IV contrast
• CT abdomen and pelvis without IV or oral contrast
• CT multiphase pancreas

For other considerations, call or text the radiologist.