Take Care of Your Pancreas!

Purulent fusion of tissues of pancreatic infiltration is accompanied by a large number of fine irregularly placed echo-free structures with indistinct contours. During dynamic observation we can mark their fusion into larger inclusions of non-uniform density. Purulent fusion of tissues with formation of a cavity is traced approximately within 5-7 days. During formation of an abscess the augmentation of infiltration with an echo-free rim at the periphery is marked due to the gathering of liquid in the omental bursa. Diffusion of the process on adjacent tissues is accompanied with the loss of sharpness of their structure and illegibility of vessel contours.

During abscesses of the abdominal cavity and retroperitoneal space the common nidus of irregular shape and lowered echogenicity is determined. The internal structure of the abscess is non-uniform with individual regular or irregular fine echogenic inclusions. A strip of intensive reflections is marked behind the nidus. Echoginicity is reduced in the parts of the pancreas adjacent to the nidus.

The size of the pancreas is moderately enlarged or normal in case of cystous lumps. Cystous lumps with homogeneous hypoechoic structure up to 20-25 cm in diameter are determined in the parenchyma. During visualization the duct of the pancreac is crimped. The parenchyma surrounding the cyst had an apparent non-uniform structure. Some patients can have caval organs pushed off - the stomach, the duodenal with signs of gastro- and duodenostasis.

Echography shows that empyema of the cyst is heterogenic. On the homogeneous echo-free background the structures are more dense; they are suspended and look like flakes. Alongside with it the capsule is thickened and its internal border is loosened. The reactive process simultaneously develops in adjacent tissues.