Evaluating blunt pancreatic trauma at whole body CT: current practices and future directions

Blunt pancreatic trauma almost always occurs in the setting of multiple severe injuries, and is usually diagnosed within the context of whole-body trauma CT. Associated injuries may flag the pancreas for greater scrutiny. Main duct laceration is the primary determinant of the need for surgical inter...

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Bibliographic Details
Published in:Emergency radiology 2013-12, Vol.20 (6), p.517-527
Main Authors: Dreizin, David, Bordegaray, Matthew, Tirada, Nikki, Raman, Siva P., Kadakia, Kevin, Munera, Felipe
Format: Article
Language:English
Subjects:
Adult
Aged
Emergency Medicine
Female
Humans
Imaging
Male
Medicine
Medicine & Public Health
Middle Aged
Multiple Trauma - diagnostic imaging
Pancreas - diagnostic imaging
Pancreas - injuries
Radiology
Review Article
Tomography, X-Ray Computed - methods
Whole Body Imaging - methods
Wounds, Nonpenetrating - diagnostic imaging
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Summary:Blunt pancreatic trauma almost always occurs in the setting of multiple severe injuries, and is usually diagnosed within the context of whole-body trauma CT. Associated injuries may flag the pancreas for greater scrutiny. Main duct laceration is the primary determinant of the need for surgical intervention. Characterization is improved with advanced post-processing techniques. We present useful diagnostic pearls, describe key pitfalls, and review advancements in the evaluation of pancreatic trauma at whole-body MDCT.
ISSN:1070-3004
1438-1435
DOI:10.1007/s10140-013-1133-9