Chance fracture with duodenal and pancreatic lacerations

Case contributed by Dr Laura Sanchez Garcia

Presentation

10 year old involved in a motor vehicle accident.

Patient Data

Age: 10
Gender: Female

Duodenal and with large volume of adjacent intra-abdominal free gas. Linear hypodensity through the pancreatic neck in keeping with laceration. Large volume ascites. 

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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Case Information

rID: 43477
Case created: 12th Mar 2016
Last edited: 8th Jun 2016
Inclusion in quiz mode: Excluded

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