IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Pancreatic trauma

Case contributed by Varun Babu
Diagnosis certain

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. 

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.