Hemorrhagic pancreatitis was diagnosed with portable realtime ultrasound in a critically ill 4-year-old child. The ultrasonic features were diffuse pancreatic enlargement, generally and focally increased pancreatic echogenicity, and ascites. Ultrasound was indispensable as a portable noninvasive imaging modality that allowed for rapid and accurate diagnosis.
References
1.
Wyllie E., Wyllie R., Cruse RP, et al. Pancreatitis associated with valproic acid therapy. Am J Dis Child1984;138:912-4.
2.
Committee on Drugs (1981 -1982), American Academy of Pediatrics. Valproic acid: benefits and risks. Pediatrics1982;70:316-9.
3.
Batalden PB, VanDyne BJ, Cloyd J. Pancreatitis associated with valproic acid therapy. Pediatrics1979 ;64: 520-2.
4.
Coulter DL, Allen RJPancreatitis associated with valproic acid therapy for epilepsy. Ann Neurol1980;7: 92.
5.
Parker PH, Helinek GL, Ghishan FK, et al. Recurrent pancreatitis induced by valproic acid: a case report and review of the literature. Gastroenterology1981;80:826-8.
6.
Isikoff MB, Hill MC, Silverstein W., et al. The clinical significance of acute pancreatic hemorrhage. Am J Radiol1981;136:679-84.
7.
Jordan GL, Spjut HJHemorrhagic pancreatitis. Arch Surg1972;104:489-93.
8.
Cox KL, Ament ME, Sample WF, et al. The ultrasonic and biochemical diagnosis of pancreatitis in children. J Pediatr1980;96:407-11.
9.
Coleman BG, Arger PH, Rosenberg HK, et al. Grayscale sonographic assessment of pancreatitis in children . Radiology1983;146:145-50.
10.
Jordan SC, Ament MEPancreatitis in children and adolescents. J Pediatr1977;91:211-6.
11.
Bradley JA, Bradley P., McMahon MJDiagnostic peritoneal lavage in acute pancreatitis: the value of microscopy of the lavage fluid. Br J Surg1981 ;68:245-6.
12.
Hancke S.Ultrasonic scanning of the pancreas. JCU1976 ;4:223-230.
13.
GhorAshi B , Rector WRGray scale sonographic anatomy of the pancreas . JCU1977;5:25-9.
14.
Weinstein DP , Weinstein BJUltrasonic demonstration of the pancreatic duct: an analysis of 41 cases. Radiology1979 ;130:729-34.
15.
Fleischer AC , Parker P., Kirchnor SG, et al. Sonographic findings of pancreatitis in children. Radiology1983;146:151-5.
16.
Gooding Gaw.Pseudocyst of the pancreas with mediastinal extension: an ultrasonographic demonstration. JCU1977;5:121-3.
17.
Karlson KB, Martin EC, Fankuchen EI, et al. Percutaneous drainage of pancreatic pseudocysts and abscesses . Radiology1982;142:619-24.