The CT features of patients with abdominal compartment syndrome complicated by severe acute pancreatitis         SUN Jia-kui*, LI Wei-qin, WANG Zhong-qiu, et al. *Medical School of Nanjing University, Institute of General Surgery, General Hospital of Nanjing Military Command, People’s Liberation Army, Nanjing 210002, China
Corresponding author：LI Wei-qin，E-mail: sunjiakui1985@163.com
Abstract    Objective    To evaluate the CT features and its’ clinical impact of abdominal compartment syndrome(ACS) complicated by severe acute pancreatitis(SAP).  Methods    A retrospective study was carried out on 23 cases of patients with ACS complicated by SAP admitted in our center from January 2008 to May 2011, to evaluate the CT features of ACS and its’ effect of assessing patients’ severity.  Results    The morbidity of ACS complicated by SAP in our center was 3.04%. In the 23 cases of patients, 12 cases was cured and 9 cases of them was cured by operation. The CTSI scores and the incidence of narrowing of inferior vena cava, elevation of the diaphragm, round belly sign was significant variable between the ACS and non-ACS patients. And the self-comparison of ACS patients showed that the incidence of narrowing of inferior vena cava, bowel wall thickening with contrast enhancement, elevation of the diaphragm was also significant variable. Among the seven CT features of ACS in previous articles, the frequency of those features had a significant variable in APACHEII、SOFA、MV days、CRRT days and mortality.  Conclusions    The CTSI scores and the incidence of narrowing of inferior vena cava, elevation of the diaphragm, round belly sign was significant variable between the ACS and non-ACS patients, and the frequency of CT features in previous articles also had a effect of assessing the ACS patients’ severity.