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What is Gas absent from intestine (gasless abdomen) on x-ray is seen in which condition? and explain in detail?
Acute pancreatitis - In acute pancreatitis due to damaged duct and acini there is extravasation of pancreatic enzymes such as lipase into the peritoneal cavity. - This causes digestion of fat of greater omentum which in turn leads to formation of fatty acid & glycerol. - Free fatty acid combines with calcium and leads to formation of chalky white deposits known as "SAPNOFICATION" - Patients of pancreatitis presents with hypocalcaemia as calcium is used up for saponification. - The pancreatic enzymes that entered into peritoneal cavity also causes Paralytic ileus - X-ray findings of Paralytic ileus: Gasless abdomen Ground Glass appearance Sentinel loop Colon cut-off sign