Presentation
Motor vehicle accident.
Patient Data
Age: 10 years
Gender: Female
From the case:
Chance fracture with duodenal and pancreatic lacerations
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Duodenal and with large volume of adjacent intra-abdominal free gas. Linear hypodensity through the pancreatic neck in keeping with laceration. Large volume ascites.
From the case:
Chance fracture with duodenal and pancreatic lacerations
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Sagittal and 3D reformat demonstrate L2 transverse fracture across the transverse processes, laminae, and articular processes.
Case Discussion
Chance fractures, also referred as seatbelt fractures, are flexion-distraction type injuries of the spine that extend to involve all three spinal columns.
There is a high incidence of associated intra-abdominal injuries especially the pancreas and duodenum.
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