急性胰腺炎亚特兰大分类修订标准.pptVIP

WON of pancreatic body, tail, and portion of the head in a 45-year-old man with alcohol abuse and necrotizing pancreatitis. (a) Axial CT image obtained 6 weeks after acute onset shows some areas of lower attenuation (arrowheads) in a heterogeneous collection with a well-defined rim (arrows), representing WON with fat necrosis involving pancreas and peripancreatic tissues. (b) Axial CT image obtained several centimeters caudal to a shows WONs extending into right anterior pararenal and left anterior and posterior pararenal space (arrows). WON of pancreatic body, tail, and portion of the head in a 45-year-old man with alcohol abuse and necrotizing pancreatitis. (a) Axial CT image obtained 6 weeks after acute onset shows some areas of lower attenuation (arrowheads) in a heterogeneous collection with a well-defined rim (arrows), representing WON with fat necrosis involving pancreas and peripancreatic tissues. (b) Axial CT image obtained several centimeters caudal to a shows WONs extending into right anterior pararenal and left anterior and posterior pararenal space (arrows). Large infected WON in a 57-year-old man with necrotizing pancreatitis. (a) Axial CT image obtained 5 weeks after acute onset shows pancreas replaced by low-attenuation collection with well-defined rim (arrows) and multiple pockets of gas (arrowheads). (b) Axial CT image obtained 3 days after placement of percutaneous drainage catheters (arrows) shows large residual WON with air bubbles, indicative of incomplete drainage of an infected WON. The patient did not show notable improvement, and drainage catheters were replaced with larger caliber catheters; eventually the patient underwent surgical débridement, which was successful. Large infected WON in a 57-year-old man with necrotizing pancreatitis. (a) Axial CT image obtained 5 weeks after acute onset shows pancreas replaced by low-attenuation collection with well-defined rim (arrows) and multiple pockets of gas (arrowheads). (b) Axial CT image obtain