Hungarian Radiology

[Diagnostic difficulties of pancreatic rupture caused by blunt abdominal trauma]

WENINGER Csaba, ROSTÁS Tamás, MORÓ Zsuzsanna, GERSEI Emma

AUGUST 20, 2004

Hungarian Radiology - 2004;78(04)

[INTRODUCTION - The aim of this study was to analyze the radiological observations of four cases of pancreatic fracture caused by blunt abdominal trauma. PATIENTS AND METHOD - The authors diagnosed pancreatic transection in four patient during a 4-year period. The patients were examined with spiral CT. Two children suffered pancreatic injury caused by blunt abdominal trauma (7,5 and 13 years old) and two adult men (40 and 35 years old). RESULTS - The abdominal ultrasound examination was not diagnostic regarding to pancreatic injury, but depicted free abdominal fluid and associated injuries of other organs. The pancreatic fracture was diagnosed only in one case at the first abdominal CT. The examiner failed to recognize the pancreatic transection in two cases at the initial CT. A pseudocyst was diagnosed by the examiner correctly in the 4th case, depicted earlier with US some weeks after the blunt abdominal trauma, but the pancreatic rupture was seen during reviewing of the CT scans, only. CONCLUSION - The recognition of pancreatic injury is difficult but very important, because it requires surgical intervention. In the literature, spiral CT considered as the best imaging technique in the evaluation of pancreatic injury. The radiologist has to think about the traumatic injury of pancreas also and know the signs of pancreatic fracture.]

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