Osmania General Hospital and Medical College Khammam, Telangana, India
Krishna Teja Vemulaghat, MBBS1, Sahithi Gopu, MBBS2, Balakrishnan Kamaraj, MBBS3, Nishmitha Puchakayala, MBBS4, Bhavana Korlakunta, 5, Deekshith Ameer Shaik, MBBS6 1Osmania General Hospital and Medical College, Siddipet, Telangana, India; 2Osmania General Hospital and Medical College, Godhavarikhani, Telangana, India; 3Madurai Medical College, Vellore, Tamil Nadu, India; 4Osmania General Hospital and Medical College, Khammam, Telangana, India; 5Osmania General Hospital and Medical College, Aswapuram, Telangana, India; 6Osmania General Hospital and Medical College, Hyderabad, Telangana, India Introduction: Pancreatitis in teenagers presents unique diagnostic and clinical challenges. With its varied causes and subtle presentations, early and accurate imaging is key. This study explores how contrast-enhanced CT (CECT) helps reveal the etiology and severity of pancreatitis in adolescents at a tertiary care center. Methods: We studied 50 adolescents aged 10–19 who were suspected of having pancreatitis. Each underwent clinical evaluation and CECT. The Modified CT Severity Index (MCTSI) was used to measure disease severity. We also looked into underlying causes and correlated them with imaging findings and clinical outcomes. Results: Most patients had acute edematous pancreatitis (62%), while 28% showed necrosis. Alcohol (30%) and gallstones (24%) were leading causes, followed by idiopathic origins. Systemic causes like trauma and metabolic disorders were less frequent. A higher MCTSI score was linked to more complications and longer hospital stays (p < 0.01). Discussion: This study highlights that even in adolescents, alcohol is a major contributor to pancreatitis. CT imaging, especially when paired with MCTSI scoring, plays a crucial role in understanding disease extent and planning care. We recommend including CT as part of the early diagnostic approach in such settings.
Disclosures: Krishna Teja Vemulaghat indicated no relevant financial relationships. Sahithi Gopu indicated no relevant financial relationships. Balakrishnan Kamaraj indicated no relevant financial relationships. Nishmitha Puchakayala indicated no relevant financial relationships. Bhavana Korlakunta indicated no relevant financial relationships. Deekshith Ameer Shaik indicated no relevant financial relationships.
Krishna Teja Vemulaghat, MBBS1, Sahithi Gopu, MBBS2, Balakrishnan Kamaraj, MBBS3, Nishmitha Puchakayala, MBBS4, Bhavana Korlakunta, 5, Deekshith Ameer Shaik, MBBS6. P4352 - Computed Tomography Imaging in Adolescent Pancreatitis: Etiological Insights and Morphologic Patterns in a Tertiary Care Setting, ACG 2025 Annual Scientific Meeting Abstracts. Phoenix, AZ: American College of Gastroenterology.
