chiniofon and Pancreatitis

We present a case of emphysematous gastritis initially detected with 111In oxine-labeled white blood cell scintigraphy and subsequently confirmed by computed tomography. Early aggressive antibiotic and supportive therapy resulted in a successful clinical outcome.

Topics: Emphysema; Female; Gastritis; Humans; Hydroxyquinolines; Indium Radioisotopes; Leukocytes; Middle Aged; Organometallic Compounds; Oxyquinoline; Pancreatitis; Radionuclide Imaging

Indium-111 labelled autologous leucocyte imaging was used to assess severity in 13 patients with acute pancreatitis. All three patients with severe disease as judged by a prognostic factor grading system had a positive result on imaging. A fourth patient with mild disease as judged by prognostic factors had a positive imaging result and 14 days later developed a pseudocyst. There were no false positive or false negative scans. Evidence from three patients suggested that a positive 111In-leucocyte imaging result implies substantial fat necrosis. In this study imaging was as accurate as prognostic factor grading. The technique may be a useful method of separating mild from severe acute pancreatitis.

Topics: Acute Disease; Adult; Aged; Female; Humans; Hydroxyquinolines; Indium; Leukocytes; Male; Middle Aged; Organometallic Compounds; Oxyquinoline; Pancreatitis; Prognosis; Prospective Studies; Radioisotopes; Radionuclide Imaging; Ultrasonography

Topics: Acute Disease; Humans; Hydroxyquinolines; Lipase; Oxyquinoline; Pancreatitis; Tetracyclines