Clinical Study
Patterns of Pathomorphological Changes in Acute Necrotizing Pancreatitis
Table 1
Early, late, and protective changes in pancreatic tissue in patients with APN.
| Microscopic changes | Number of | Percentage | patients |
| Early changes | | | Vascular endothelial desquamation | 224 | 100% | Intravascular stasis and sludge | 215 | 95.9% | Circular thrombosis | 99 | 44.2% | Mucoid swelling in stromal carcass | 40 | 17.9% | Parenchymal hemorrhages | 208 | 92.9% | Late changes | | | Parenchymal necrosis | 224 | 100% | Total thromboses | 206 | 92% | Thrombolysis and recanalization | 49 | 21.9% | Decomposition of argyrophilic | 211 | 94.2% | reticular carcass | Fibrinoid swelling | 164 | 73.2% | Calcium accumulation | 34 | 15.2% | Protective changes | | | Nerves resistant to necrosis | 179 | 79.9% | Lobular ducts resistant to necrosis | 175 | 78.1% | Islets of Langerhans resistant to | 166 | 74.1% | necrosis |
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