Chance fracture with duodenal and pancreatic lacerations

Case contributed by Dr Laura Sanchez Garcia


Motor vehicle accident.

Patient Data

Age: 10 years
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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.