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W221 Grading of Disease Severity The severity of acute pancreatitis may be broadly subdivided into mild and severe forms. Patients with mild acute pancreatit is tend to have acute interstitial pancreatit is whereas pancreatitis associated with hem orrhage, necrosis, or vasculitis is considered severe [6]. Most cases of acute pancreatitis are considered mild, with affected patients reporting modest abdominal pain and dis playing mild abdominal tenderness. Patients with mild acute pancreatitis have either min imal or no organ and systemic dysfunction. Therefore, patients with mild acute pancrea titis should respond quickly to medical ther apy, and their symptoms and laboratory val ues should normalize promptly [2]. Between 10% and 20% of cases of acute pancreatitis are considered severe [7]. Such patients will usually exhibit more severe ab dominal pain, vomiting, and clinical signs of peritonism with tachycardia, fever, and leu kocytosis. Patients with severe acute pancre atitis are more likely to have a protracted hos pital stay and to develop systemic or organ failure with renal, respiratory, and cardio vascular failure; disseminated intravascular coagulation; or gastrointestinal hemorrhage [2]. The clinical evaluation of severe acute Imaging of Acute Pancreatitis
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O’Connor et al. (2011) studied this question.
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