Presentation
The patient reports being struck by an elephant and has been experiencing upper abdominal pain since the incident.
Patient Data
Ill-defined area of non-enhancement noted in the head and body of the pancreas, which is seen to communicate with the MPD with surrounding mild fat stranding and collection - likely AAST grade-III pancreatic parenchymal injury with ductal injury.
The collection is noted in the right perirenal space with thickening of perirenal fascia - likely hemorrhagic collection.
Visualized thorax shows bilateral mild pleural effusion with atelectasis of adjacent lung parenchyma.
A well-defined collection of size 3.3 x 3.1 cm is noted in the pancreatic head and extends into the pancreaticoduodenal groove. The main pancreatic duct is seen to communicate with the collection - suggestive of post-traumatic pancreatic pseudocyst
The common bile duct is normal in size. The distal CBD is mildly compressed by the collection leading to mild prominence of CBD ( 9.4 mm ). No calculus was seen.
No filling defects were identified within the intrahepatic or extrahepatic biliary tree.
Case Discussion
CT findings are in favor of AAST grade-III pancreatic parenchymal injury with ductal injury (pancreatic trauma).
MR findings show post traumatic pancreatic pseudocyst with dilated CBD caused by compression of CBD by collection.
Unable to process the form. Check for errors and try again.