Discordance between CECT and angiographic findings in severe acute pancreatitis-related hemorrhage: implications for interventional management - Takeaways - MDSpire

Discordance between CECT and angiographic findings in severe acute pancreatitis-related hemorrhage: implications for interventional management

  • By

  • Yinshan Wu

  • Jiannan Qian

  • Like Qian

  • Li Chen

  • Bo Shen

  • Feng Guo

  • June 1, 2026

  • 0 min

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  • 1

    CECT shows limited concordance with DSA in detecting hemorrhage in severe acute pancreatitis, with a weighted kappa of 0.29.

  • 2

    Negative CECT findings in SAP patients often still require therapeutic embolization, with 69.2% of such cases successfully treated.

  • 3

    CECT Grade 2 findings have a high positive predictive value of 94.1% but are linked to all instances of rebleeding and procedural abandonment.

  • 4

    Nine episodes of hemorrhage required surgical rescue after DSA, highlighting the need for careful interpretation of CECT results.

  • 5

    The study emphasizes the importance of integrating angiographic evaluation in managing suspected hemorrhagic complications in SAP.

Original Source(s)

Discordance between CECT and angiographic findings in severe acute pancreatitis-related hemorrhage: implications for interventional management

  • by Yinshan Wu, Jiannan Qian, Like Qian, Li Chen, Bo Shen, Feng Guo

  • June 1, 2026

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