4.2 Plain Abdominal Radiographs

4.2 Plain Abdominal Radiographs

A standard abdominal radiograph(KUB)may detect diffuse pancreatic calcification in very far-advanced CP.The finding of diffuse calcification is specific for CP but is quite insensitive(Fig.7.2a,b).Although the sensitivity of this finding is limited(around 30-40%),a plain film of the abdomen should be the first diagnostic test used when attempting to evaluate chronic abdominal pain as a positive finding obviates the need for additional testing(Yamada 2008).

Fig.7.2 Chronic pancreatitis on plain abdominal radiographs.(a,b)Of two alcoholic patients show multiple coarse calcifications in the topography of the pancreas(arrows)(https://www.daowen.com)