ISOLATED PANCREATIC INJURY IN BLUNT ABDOMINAL TRAUMA– A CASE REPORT

Dr.Vedansh Gutain; Dr Gaurav Mishra; Dr Suresh Phatak

Volume : VII, Issue : II, February - 2018

ISOLATED PANCREATIC INJURY IN BLUNT ABDOMINAL TRAUMA– A CASE REPORT

Dr. Vedansh Gutain, Dr Gaurav Mishra, Dr Suresh Phatak

Abstract :

Isolated traumatic rupture of pancreas is rare presentation It occurs in less than 5% of cases and difficult to detect but are associated with high morbidity and mortality, especially if diagnosis is delayed.

An early diagnosis of pancreatic trauma can be challenging and difficult because of the lack of correlation between the initial presenting features, radiological and laboratory findings, and the severity of the trauma caused by compression of the pancreas between the verteal column and external compression. These injuries are easier to pick up with cross sectional imaging especially the computed tomography (CT) scan.

Computed tomography (CT) can demonstrate pancreatic parenchymal injuries and complications such as abscess, fistula, pancreatitis, and pseudocyst. The most evident findings of pancreatic injury are posttraumatic pancreatitis with blood, edema, and soft tissue infiltration of the anterior pararenal space. CT findings can also suggest disruption of the pancreatic duct; however, the ability of CT to indicate this finding depends on the degree of parenchymal injury.