Pancreatic transection

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Blunt abdominal trauma with consequent vomiting and pain in epigastrium.

Patient Data

Age: 10 Years
Gender: Female
CT

Axial images were obtained after contrast. Oral contrast was also given. Moderate haemoperitoneum is present. Pancreas appears swollen. An evidence of pancreatic injury is seen in the region of neck. A decrease vascular enhancement and low attenuation areas seen in head, uncinate process, body and tail of pancreas. All these findings are most likely due to pancreatic transection.

Annotated image

Annotated image. 

Case Discussion

The pancreatic injury is relatively uncommon in trauma and many grading scales have been proposed for pancreatic injury and pancreatic trauma.

The case is courtesy of   Dr. Mehat Al sayed, prof of pedia Surgery and Dr. Sikander Ali, Radaiology consultant RCMC.

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Case information

rID: 28160
Case created: 12th Mar 2014
Last edited: 11th Apr 2017
Inclusion in quiz mode: Included

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