AIM: To evaluate the role of computed tomography (CT) for diagnosing @entity130 of the pancreas and guiding the therapeutic approach. METHODS: CT exams of 6740 @entity1 admitted to our Emergency Department between May 2005 and January 2013 for @entity1661 were retrospectively evaluated. @entity1 were identified through a search of our electronic archive system by using such terms as " @entity788 ", " @entity788 ". All CT examinations were performed before and after the intravenous injection of contrast material using a 16-slice multidetector row computed tomography scanner. The data sets were retrospectively analyzed by two radiologists in consensus searching for specific signs of @entity660 (parenchymal @entity174 and laceration, focal or diffuse @entity788 / @entity4 , pancreatic @entity1410 , active @entity548 , fluid between splenic vein and pancreas) and non-specific signs (inflammatory changes in peri-pancreatic fat and mesentery, fluid surrounding the superior mesenteric artery, thickening of the @entity8 , @entity1124 , acute @entity9007 formation/peri-pancreatic fluid collection, fluid in the anterior and posterior pararenal spaces, fluid in transverse mesocolon and lesser sac, @entity548 into peri-pancreatic fat, mesocolon and mesentery, extraperitoneal fluid, intra-peritoneal fluid). RESULTS: One hundred and thirty-six/Six thousand seven hundred and forty (2%) @entity1 showed CT signs of @entity788 . Eight/one hundred and thirty-six (6%) @entity1 underwent surgical treatment and the pancreatic injures were confirmed in all cases. Only in 6/8 @entity1 treated with surgical approach, @entity660 was suggested in the radiological reports and surgically confirmed in all cases. In 128/136 (94%) @entity1 who underwent non-operative treatment CT images showed pancreatic @entity4 in 97 @entity1 , @entity1410 in 31 @entity1 , fluid between splenic vein and pancreas in 113 @entity1 . Non-specific CT signs of @entity660 were represented by peri-pancreatic fat stranding and mesentery fluid in 89% of cases, thickening of the @entity8 in 65%, @entity1124 in 18%, acute @entity9007 /peri-pancreatic fluid collection in 57%, fluid in the pararenal spaces in 45%, fluid in transverse mesocolon and lesser sac in 29%, @entity548 into peri-pancreatic fat, mesocolon and mesentery in 66%, extraperitoneal fluid in 66%, intra-peritoneal fluid in 41% cases. CONCLUSION: CT represents an accurate tool for diagnosing @entity788 , provides useful information to plan therapeutic approach with a detection rate of 75% for recognizing ductal lesions.

XXXX : The role of computed tomography for guiding therapeutic approach.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity788 :: ('MESH:D010190', 'Disease') :: ['pancreatic laceration", "peri-pancreatic fluid", "pancreatic active bleeding', 'pancreatic injury", "pancreatic contusion', 'pancreatic trauma', 'pancreatic enlargement'] @entity8 :: ('MESH:D007674', 'Disease') :: ['left anterior renal fascia'] @entity1124 :: ('MESH:D021441', 'Disease') :: ['pancreatic ductal dilatation'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage', 'bleeding'] @entity4 :: ('MESH:D004487', 'Disease') :: ['edema'] @entity1661 :: ('MESH:D000008', 'Disease') :: ['abdominal trauma'] @entity660 :: ('MESH:D010182', 'Disease') :: ['pancreatic injuries', 'pancreatic injury', 'pancreatic duct damage'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematoma'] @entity9007 :: ('MESH:D010192', 'Disease') :: ['pseudocyst'] @entity130 :: ('MESH:D014947', 'Disease') :: ['traumatic injuries']
@entity788 :: (MESH:D010190,Disease) :: ['Pancreatic trauma']
