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Pancreatic Trauma
Siva P. Raman, MD
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KEY FACTS

  • Imaging

    • Pathology

      • Clinical Issues

        TERMINOLOGY

        • Synonyms

          • Traumatic pancreatic injury
        • Definitions

          • Inflammatory disease of pancreas secondary to trauma

        IMAGING

        • General Features

          • Radiographic Findings

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    Selected References

                                    1. Ayoob AR et al: Pancreatic trauma: imaging review and management update. Radiographics. 200077, 2020
                                    2. Biyyam DR et al: CT findings of pediatric handlebar injuries. Radiographics. 40(3):815-26, 2020
                                    3. Odedra D et al: Imaging of blunt pancreatic trauma: a systematic review. Can Assoc Radiol J. 71(3):344-51, 2020
                                    4. Sharbidre KG et al: Traumatic pancreatitis. Abdom Radiol (NY). 45(5):1265-76, 2020
                                    5. Gagne S et al: Pancreaticobiliary trauma: a multimodality imaging update. Semin Ultrasound CT MR. 39(4):355-62, 2018
                                    6. Søreide K et al: Clinical update on management of pancreatic trauma. HPB (Oxford). 20(12):1099-108, 2018
                                    7. Panda A et al: Evaluation of diagnostic utility of multidetector computed tomography and magnetic resonance imaging in blunt pancreatic trauma: a prospective study. Acta Radiol. 56(4):387-96, 2014
                                    8. Debi U et al: Pancreatic trauma: a concise review. World J Gastroenterol. 19(47):9003-11, 2013
                                    9. Dreizin D et al: Evaluating blunt pancreatic trauma at whole body CT: current practices and future directions. Emerg Radiol. 20(6):517-27, 2013
                                    10. Gordon RW et al: Blunt pancreatic trauma: evaluation with MDCT technology. Emerg Radiol. 20(4):259-66, 2013
                                    11. Lahiri R et al: Pancreatic trauma. Ann R Coll Surg Engl. 95(4):241-5, 2013
                                    12. Maeda K et al: Management of blunt pancreatic trauma in children. Pediatr Surg Int. 29(10):1019-22, 2013
                                    13. Kaman L et al: Current management of pancreatic trauma. Trop Gastroenterol. 33(3):200-6, 2012
                                    14. Lee KJ et al: Management of blunt pancreatic injury by applying the principles of damage control surgery: Experience at a single institution. Hepatogastroenterology. 59(118-19), 2011
                                    15. Duchesne JC et al: Selective nonoperative management of low-grade blunt pancreatic injury: are we there yet? J Trauma. 65(1):49-53, 2008
                                    16. Buccimazza I et al: Isolated main pancreatic duct injuries spectrum and management. Am J Surg. 191(4):448-52, 2006
                                    17. Fang JF et al: Usefulness of multidetector computed tomography for the initial assessment of blunt abdominal trauma patients. World J Surg. 30(2):176-82, 2006
                                    18. Cay A et al: Nonoperative treatment of traumatic pancreatic duct disruption in children with an endoscopically placed stent. J Pediatr Surg. 40(12):e9-12, 2005
                                    19. Krige JE et al: The management of complex pancreatic injuries. S Afr J Surg. 43(3):92-102, 2005
                                    20. Stringer MD: Pancreatitis and pancreatic trauma. Semin Pediatr Surg. 14(4):239-46, 2005
                                    21. Lin BC et al: Management of blunt major pancreatic injury. J Trauma. 56(4):774-8, 2004
                                    22. Kao LS et al: Predictors of morbidity after traumatic pancreatic injury. J Trauma. 55(5):898-905, 2003
                                    23. Mayer JM et al: Pancreatic injury in severe trauma: early diagnosis and therapy improve the outcome. Dig Surg. 19(4):291-7; discussion 297-9, 2002
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Imaging

                                      • Pathology

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Synonyms

                                            • Traumatic pancreatic injury
                                          • Definitions

                                            • Inflammatory disease of pancreas secondary to trauma

                                          IMAGING

                                          • General Features

                                            • Radiographic Findings

                                              • CT Findings

                                                • MR Findings

                                                  • Ultrasonographic Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Staging, Grading, & Classification

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      Selected References

                                                                      1. Ayoob AR et al: Pancreatic trauma: imaging review and management update. Radiographics. 200077, 2020
                                                                      2. Biyyam DR et al: CT findings of pediatric handlebar injuries. Radiographics. 40(3):815-26, 2020
                                                                      3. Odedra D et al: Imaging of blunt pancreatic trauma: a systematic review. Can Assoc Radiol J. 71(3):344-51, 2020
                                                                      4. Sharbidre KG et al: Traumatic pancreatitis. Abdom Radiol (NY). 45(5):1265-76, 2020
                                                                      5. Gagne S et al: Pancreaticobiliary trauma: a multimodality imaging update. Semin Ultrasound CT MR. 39(4):355-62, 2018
                                                                      6. Søreide K et al: Clinical update on management of pancreatic trauma. HPB (Oxford). 20(12):1099-108, 2018
                                                                      7. Panda A et al: Evaluation of diagnostic utility of multidetector computed tomography and magnetic resonance imaging in blunt pancreatic trauma: a prospective study. Acta Radiol. 56(4):387-96, 2014
                                                                      8. Debi U et al: Pancreatic trauma: a concise review. World J Gastroenterol. 19(47):9003-11, 2013
                                                                      9. Dreizin D et al: Evaluating blunt pancreatic trauma at whole body CT: current practices and future directions. Emerg Radiol. 20(6):517-27, 2013
                                                                      10. Gordon RW et al: Blunt pancreatic trauma: evaluation with MDCT technology. Emerg Radiol. 20(4):259-66, 2013
                                                                      11. Lahiri R et al: Pancreatic trauma. Ann R Coll Surg Engl. 95(4):241-5, 2013
                                                                      12. Maeda K et al: Management of blunt pancreatic trauma in children. Pediatr Surg Int. 29(10):1019-22, 2013
                                                                      13. Kaman L et al: Current management of pancreatic trauma. Trop Gastroenterol. 33(3):200-6, 2012
                                                                      14. Lee KJ et al: Management of blunt pancreatic injury by applying the principles of damage control surgery: Experience at a single institution. Hepatogastroenterology. 59(118-19), 2011
                                                                      15. Duchesne JC et al: Selective nonoperative management of low-grade blunt pancreatic injury: are we there yet? J Trauma. 65(1):49-53, 2008
                                                                      16. Buccimazza I et al: Isolated main pancreatic duct injuries spectrum and management. Am J Surg. 191(4):448-52, 2006
                                                                      17. Fang JF et al: Usefulness of multidetector computed tomography for the initial assessment of blunt abdominal trauma patients. World J Surg. 30(2):176-82, 2006
                                                                      18. Cay A et al: Nonoperative treatment of traumatic pancreatic duct disruption in children with an endoscopically placed stent. J Pediatr Surg. 40(12):e9-12, 2005
                                                                      19. Krige JE et al: The management of complex pancreatic injuries. S Afr J Surg. 43(3):92-102, 2005
                                                                      20. Stringer MD: Pancreatitis and pancreatic trauma. Semin Pediatr Surg. 14(4):239-46, 2005
                                                                      21. Lin BC et al: Management of blunt major pancreatic injury. J Trauma. 56(4):774-8, 2004
                                                                      22. Kao LS et al: Predictors of morbidity after traumatic pancreatic injury. J Trauma. 55(5):898-905, 2003
                                                                      23. Mayer JM et al: Pancreatic injury in severe trauma: early diagnosis and therapy improve the outcome. Dig Surg. 19(4):291-7; discussion 297-9, 2002