Pancreatic trauma: Difference between revisions
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*Direct signs of pancreatic injury include pancreatic laceration, transection, and comminution. | *Direct signs of pancreatic injury include pancreatic laceration, transection, and comminution. <ref>Avneesh Gupta, Joshua W. Stuhlfaut, Keith W. Fleming, Brian C. Lucey, and Jorge A. Soto. [http://radiographics.rsnajnls.org/cgi/content/abstract/24/5/1381 Blunt Trauma of the Pancreas and Biliary Tract: A Multimodality Imaging Approach to Diagnosis.] RadioGraphics 2004 24: 1381-1395.</ref> | ||
*Fluid collections, such as hematomas, pseudocysts, and abscesses, are often seen communicating with the pancreas at the site of fracture or transection. | *Fluid collections, such as hematomas, pseudocysts, and abscesses, are often seen communicating with the pancreas at the site of fracture or transection. | ||
*Focal enlargement of the pancreas and peripancreatic fluid are suggestive of pancreatic injury. | *Focal enlargement of the pancreas and peripancreatic fluid are suggestive of pancreatic injury. | ||
Revision as of 18:32, 15 March 2009
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Overview
Diagnostic Findings
CT
- Direct signs of pancreatic injury include pancreatic laceration, transection, and comminution. [1]
- Fluid collections, such as hematomas, pseudocysts, and abscesses, are often seen communicating with the pancreas at the site of fracture or transection.
- Focal enlargement of the pancreas and peripancreatic fluid are suggestive of pancreatic injury.
- Peripancreatic fat stranding, hemorrhage, and fluid between the splenic vein and pancreas are useful secondary signs.
References
- ↑ Avneesh Gupta, Joshua W. Stuhlfaut, Keith W. Fleming, Brian C. Lucey, and Jorge A. Soto. Blunt Trauma of the Pancreas and Biliary Tract: A Multimodality Imaging Approach to Diagnosis. RadioGraphics 2004 24: 1381-1395.
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