Pancreatic laceration

Case contributed by Henry Knipe , 21 Jan 2016
Diagnosis certain
Changed by Henry Knipe, 30 Jan 2016

Updates to Case Attributes

Status changed from draft to published (public).
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Body was changed:

This pancreatic laceration was managed non-operatively, although the patient did go on to develop a pseudocyst subsequently

Pancreatic lacerations can be difficult to seeidentify but as in this case, there is swelling of theare a few subtle clues such as pancreatic tail with a linearoedema, linear hypodensity, as well as surrounding fat stranding and fluid/haematoma. 

  • -<p>This pancreatic laceration was managed non-operatively, although the patient did go on to develop a pseudocyst subsequently. </p><p>Pancreatic lacerations can be difficult to see but as in this case, there is swelling of the pancreatic tail with a linear hypodensity, as well as surrounding fat stranding and fluid/haematoma. </p>
  • +<p>This pancreatic laceration was managed non-operatively, although the patient did go on to develop a pseudocyst. </p><p>Pancreatic lacerations can be difficult to identify but as in this case, there are a few subtle clues such as pancreatic oedema, linear hypodensity, as well as surrounding fat stranding and fluid/haematoma. </p>

Updates to Study Attributes

Findings was changed:

Fat stranding and small volume of blood within the left upper quadrant and left retroperitoneal space. A linear hypodensity is seen through the tail of the pancreas. Dense left adrenal nodule most likely represents a haematoma in this context. There is a small left perinephric haematoma. 

Images Changes:

Image CT (C+ portal venous phase) ( update )

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Image CT (C+ portal venous phase) ( update )

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Updates to Quizquestion Attributes

Answer was changed:
Pancreatic tailPancreas - there is free fluid and fat stranding around an oedematous pancreatic tail.

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