Abstract：
Pancreatic leaks occur when a disruption in the pancreatic ductal system results in the leakage of pancreatic enzymes such as amylase, lipase, and proteases into the abdominal cavity. While often associated with pancreatic surgical procedures, trauma and necrotizing pancreatitis are also common culprits. Cross-sectional imaging, particularly computed tomography, plays a crucial role in assessing postoperative conditions and identifying both early and late complications, including pancreatic leaks. The presence of fluid accumulation or hemorrhage near an anastomotic site strongly indicates a pancreatic fistula, particularly if the fluid is connected to the pancreatic duct or anastomotic suture line. Pancreatic fistulas are a type of pancreatic leak that carries a high morbidity rate. Early diagnosis and assessment of pancreatic leaks require vigilance and an understanding of its imaging hallmarks to facilitate prompt treatment and improve patient outcomes. Radiologists must maintain vigilance and understand the imaging patterns of pancreatic leaks to enhance diagnostic accuracy. Ongoing improvements in surgical techniques and diagnostic approaches are promising for minimizing the prevalence and adverse effects of pancreatic fistulas. In this pictorial review, our aim is to facilitate for radiologists the comprehension of pancreatic leaks and their essential imaging patterns.
摘要：
当胰腺导管系统的破坏导致胰腺酶如淀粉酶的渗漏时，就会发生胰腺渗漏。脂肪酶,和蛋白酶进入腹腔。虽然通常与胰腺外科手术有关，外伤和坏死性胰腺炎也是常见的罪魁祸首。横断面成像,特别是计算机断层扫描，在评估术后状况和识别早期和晚期并发症中起着至关重要的作用，包括胰腺漏.吻合口附近存在积液或出血，强烈提示胰瘘。特别是如果流体连接到胰管或吻合缝合线。胰瘘是一种胰漏，发病率高。胰腺渗漏的早期诊断和评估需要保持警惕并了解其影像学标志，以促进及时治疗并改善患者预后。放射科医生必须保持警惕并了解胰腺渗漏的成像模式，以提高诊断准确性。外科技术和诊断方法的不断改进有望最大程度地减少胰瘘的患病率和不利影响。在这篇图片评论中，我们的目标是帮助放射科医生理解胰腺渗漏及其基本成像模式。
