Pancreatic trauma

Case contributed by Dr Varun Babu

Presentation

Recent road traffic accident with blunt abdominal injury, secondary pancreatic trauma and pancreatic duct breach.

Patient Data

Age: 20 years
Gender: Male
MRI

Two < 3 mm focal non distensions of the main pancreatic duct are seen in head and neck. Disruption of pancreatic parenchymal in the tail region with a 17 mm focal segment of the main pancreatic duct appearing to communicate directly (proximal and distal ends) with a large peripancreatic collection.

Common bile duct and hepatic biliary tree, gall bladder and cystic duct are normal. 

Case Discussion

Pancreatic blunt trauma can result in fracture of the pancreas and secondary fistulous formation as in this case where in there is direct communication existing between the main pancreatic duct and peripancreatic collection. MRCP study is ideal for delineation of the biliary tree and documentation of extent of injury. 

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Case information

rID: 59122
Published: 23rd Mar 2018
Last edited: 14th Jun 2018
Inclusion in quiz mode: Included
Institution: Vivid Diagnostic Centre

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