Acute pancreatitis

Diagnosis

Acute pancreatitis

History

Balthazar's scoring system for severity of acute pancreatitis

Balthazar scoring based on CT :

Grade A: Normal CT - 0 points

Grade B: Focal or diffuse enlargement of the pancreas - 1 point

Grade C: Pancreatic gland abnormalities and peripancreatic inflammation - 2 points

Grade D: Fluid collection in a single location - 3 points

Grade E: Two or more fluid collections and / or gas bubbles in or adjacent to pancreas - 4 points

Necrosis Score based on percentage of necrosis on CT

No necrosis: 0 points

0 to 30% necrosis: 2 points

30 to 50% necrosis: 4 points

Over 50% necrosis :6 points

CT severity index = CT grade point + points for necrosis