Sequential CT evaluation of isolated non-penetrating pancreatic trauma
Isolated pancreatic injuries resulting from non-penetrating trauma are rare. CT is currently the modality of choice in evaluating pancreatic injury. Delay in recognizing patients who need immediate surgery is an important cause of increased morbidity due to specific pancreatic complications. A 47-ye...
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| Veröffentlicht in: | Journal of the Pancreas 2006-01, Vol.7 (1), p.51-55 |
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| container_title | Journal of the Pancreas |
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| creator | Brestas, Paraskevas S Karakyklas, Dimitrios Gardelis, John Tsouroulas, Marinos Drossos, Charalampos |
| description | Isolated pancreatic injuries resulting from non-penetrating trauma are rare. CT is currently the modality of choice in evaluating pancreatic injury. Delay in recognizing patients who need immediate surgery is an important cause of increased morbidity due to specific pancreatic complications.
A 47-year-old man with blunt abdominal trauma after a car accident underwent a CT scan. Initial CT findings included diffuse pancreatic enlargement suggestive of isolated grade 1 pancreatic injury. A follow-up CT scan 3 days later revealed a fracture line at the pancreatic body. Subsequent surgical exploration confirmed the suspicion of concomitant duct transection. Seven months after surgery, a pseudocyst had formed adjacent to the site of the injury.
This case demonstrates the potential importance of serial CT scans in the diagnosis, grading and management of isolated pancreatic injury. |
| format | Article |
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A 47-year-old man with blunt abdominal trauma after a car accident underwent a CT scan. Initial CT findings included diffuse pancreatic enlargement suggestive of isolated grade 1 pancreatic injury. A follow-up CT scan 3 days later revealed a fracture line at the pancreatic body. Subsequent surgical exploration confirmed the suspicion of concomitant duct transection. Seven months after surgery, a pseudocyst had formed adjacent to the site of the injury.
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A 47-year-old man with blunt abdominal trauma after a car accident underwent a CT scan. Initial CT findings included diffuse pancreatic enlargement suggestive of isolated grade 1 pancreatic injury. A follow-up CT scan 3 days later revealed a fracture line at the pancreatic body. Subsequent surgical exploration confirmed the suspicion of concomitant duct transection. Seven months after surgery, a pseudocyst had formed adjacent to the site of the injury.
This case demonstrates the potential importance of serial CT scans in the diagnosis, grading and management of isolated pancreatic injury.</description><subject>Amylases - blood</subject><subject>Hematocrit</subject><subject>Hemoglobins - analysis</subject><subject>Humans</subject><subject>Injury Severity Score</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pancreas - diagnostic imaging</subject><subject>Pancreas - injuries</subject><subject>Pancreas - pathology</subject><subject>Pancreas - surgery</subject><subject>Tomography, X-Ray Computed</subject><subject>Wounds, Nonpenetrating - diagnostic imaging</subject><subject>Wounds, Nonpenetrating - pathology</subject><subject>Wounds, Nonpenetrating - surgery</subject><issn>1590-8577</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1T01LxDAUDIK46-pfkJy8FdK0SZqjLK4KCx5cz-UlfZFKmtQmFfz3BlxPM7z54M0F2dZCs6oTSm3IdUqfjHEmGLsim1q2TMlab8nhDb9WDHkET_cnit_gV8hjDDQ6OqboIeNAQwzVjAHzUrTwQWcIdsHCLS2ndYIbcunAJ7w94468Hx5P--fq-Pr0sn84VjNnOlfgBgQrQHWSm4Y5rdFYhQKc47oVwpmhA8uNcopLGJhRtepAGgmu5ME1O3L_1zsvsfydcj-NyaL3EDCuqVdMdq2o22K8OxtXM-HQz8s4wfLT_y9vfgHi5lW4</recordid><startdate>20060111</startdate><enddate>20060111</enddate><creator>Brestas, Paraskevas S</creator><creator>Karakyklas, Dimitrios</creator><creator>Gardelis, John</creator><creator>Tsouroulas, Marinos</creator><creator>Drossos, Charalampos</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20060111</creationdate><title>Sequential CT evaluation of isolated non-penetrating pancreatic trauma</title><author>Brestas, Paraskevas S ; Karakyklas, Dimitrios ; Gardelis, John ; Tsouroulas, Marinos ; Drossos, Charalampos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p209t-afdeac5a7862b30f99ebc7e5aff29455fbd8ac2b7f726ad0b7178a6b6af209af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Amylases - blood</topic><topic>Hematocrit</topic><topic>Hemoglobins - analysis</topic><topic>Humans</topic><topic>Injury Severity Score</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pancreas - diagnostic imaging</topic><topic>Pancreas - injuries</topic><topic>Pancreas - pathology</topic><topic>Pancreas - surgery</topic><topic>Tomography, X-Ray Computed</topic><topic>Wounds, Nonpenetrating - diagnostic imaging</topic><topic>Wounds, Nonpenetrating - pathology</topic><topic>Wounds, Nonpenetrating - surgery</topic><toplevel>online_resources</toplevel><creatorcontrib>Brestas, Paraskevas S</creatorcontrib><creatorcontrib>Karakyklas, Dimitrios</creatorcontrib><creatorcontrib>Gardelis, John</creatorcontrib><creatorcontrib>Tsouroulas, Marinos</creatorcontrib><creatorcontrib>Drossos, Charalampos</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the Pancreas</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brestas, Paraskevas S</au><au>Karakyklas, Dimitrios</au><au>Gardelis, John</au><au>Tsouroulas, Marinos</au><au>Drossos, Charalampos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sequential CT evaluation of isolated non-penetrating pancreatic trauma</atitle><jtitle>Journal of the Pancreas</jtitle><addtitle>JOP</addtitle><date>2006-01-11</date><risdate>2006</risdate><volume>7</volume><issue>1</issue><spage>51</spage><epage>55</epage><pages>51-55</pages><eissn>1590-8577</eissn><abstract>Isolated pancreatic injuries resulting from non-penetrating trauma are rare. CT is currently the modality of choice in evaluating pancreatic injury. Delay in recognizing patients who need immediate surgery is an important cause of increased morbidity due to specific pancreatic complications.
A 47-year-old man with blunt abdominal trauma after a car accident underwent a CT scan. Initial CT findings included diffuse pancreatic enlargement suggestive of isolated grade 1 pancreatic injury. A follow-up CT scan 3 days later revealed a fracture line at the pancreatic body. Subsequent surgical exploration confirmed the suspicion of concomitant duct transection. Seven months after surgery, a pseudocyst had formed adjacent to the site of the injury.
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| fulltext | fulltext |
| identifier | EISSN: 1590-8577 |
| ispartof | Journal of the Pancreas, 2006-01, Vol.7 (1), p.51-55 |
| issn | 1590-8577 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_70684514 |
| source | MEDLINE; EZB Electronic Journals Library |
| subjects | Amylases - blood Hematocrit Hemoglobins - analysis Humans Injury Severity Score Male Middle Aged Pancreas - diagnostic imaging Pancreas - injuries Pancreas - pathology Pancreas - surgery Tomography, X-Ray Computed Wounds, Nonpenetrating - diagnostic imaging Wounds, Nonpenetrating - pathology Wounds, Nonpenetrating - surgery |
| title | Sequential CT evaluation of isolated non-penetrating pancreatic trauma |
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