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Pancreatic Trauma
Michael R. Aquino, MD, MHSc
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KEY FACTS

  • Imaging

    • Pathology

      • Clinical Issues

        TERMINOLOGY

        • Definitions

          • Injury to pancreas

        IMAGING

        • General Features

          • CT Findings

            • MR Findings

              • Ultrasonographic Findings

                • Fluoroscopic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  Selected References

                                  1. Ibrahim A et al: CT and MRI findings in pancreatic trauma in children and correlation with outcome. Pediatr Radiol. 50(7):943-52, 2020
                                  2. Coccolini F et al: Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines. World J Emerg Surg. 14:56, 2019
                                  3. Rosenfeld EH et al: Management and outcomes of peripancreatic fluid collections and pseudocysts following non-operative management of pancreatic injuries in children. Pediatr Surg Int. 35(8):861-7, 2019
                                  4. Rosenfeld EH et al: Comparison of diagnostic imaging modalities for the evaluation of pancreatic duct injury in children: a multi-institutional analysis from the Pancreatic Trauma Study Group. Pediatr Surg Int. 34(9):961-6, 2018
                                  5. Koh EY et al: Operative versus nonoperative management of blunt pancreatic trauma in children: a systematic review. Pancreas. 46(9):1091-7, 2017
                                  6. Naik-Mathuria BJ et al: Proposed clinical pathway for nonoperative management of high-grade pediatric pancreatic injuries based on a multicenter analysis: a pediatric trauma society collaborative. J Trauma Acute Care Surg. 83(4):589-96, 2017
                                  7. Englum BR et al: Management of blunt pancreatic trauma in children: review of the National Trauma Data Bank. J Pediatr Surg. 51(9):1526-31, 2016
                                  8. Garvey EM et al: Role of ERCP in pediatric blunt abdominal trauma: a case series at a level one pediatric trauma center. J Pediatr Surg. 50(2):335-8, 2015
                                  9. Melamud K et al: Imaging of pancreatic and duodenal trauma. Radiol Clin North Am. 53(4):757-71, viii, 2015
                                  10. Alemayehu H et al: Multi-institutional experience with penetrating pancreatic injuries in children. Pediatr Surg Int. 30(11):1107-10, 2014
                                  11. Iqbal CW et al: Operative vs nonoperative management for blunt pancreatic transection in children: multi-institutional outcomes. J Am Coll Surg. 218(2):157-62, 2014
                                  12. Sheybani EF et al: Pediatric nonaccidental abdominal trauma: what the radiologist should know. Radiographics. 34(1):139-53, 2014
                                  13. Westgarth-Taylor C et al: Paediatric pancreatic trauma: a review of the literature and results of a multicentre survey on patient management. S Afr Med J. 104(11 Pt 2):803-7, 2014
                                  14. Egbert ND et al: Magnetic resonance imaging of the pediatric pancreaticobiliary system. Magn Reson Imaging Clin N Am. 21(4):681-96, 2013
                                  15. Paul MD et al: The management of pancreatic injuries in children: operate or observe. J Pediatr Surg. 46(6):1140-3, 2011
                                  16. Wood JH et al: Operative vs nonoperative management of blunt pancreatic trauma in children. J Pediatr Surg. 45(2):401-6, 2010
                                  17. de Blaauw I et al: Pancreatic injury in children: good outcome of nonoperative treatment. J Pediatr Surg. 43(9):1640-3, 2008
                                  18. Körner M et al: Current role of emergency US in patients with major trauma. Radiographics. 28(1):225-42, 2008
                                  19. Linsenmaier U et al: Diagnosis and classification of pancreatic and duodenal injuries in emergency radiology. Radiographics. 28(6):1591-602, 2008
                                  20. Venkatesh SK et al: CT of blunt pancreatic trauma: a pictorial essay. Eur J Radiol. 67(2):311-20, 2008
                                  21. Mattix KD et al: Pediatric pancreatic trauma: predictors of nonoperative management failure and associated outcomes. J Pediatr Surg. 42(2):340-4, 2007
                                  22. Takishima T et al: Pancreatographic classification of pancreatic ductal injuries caused by blunt injury to the pancreas. J Trauma. 48(4):745-51; discussion 751-2, 2000
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Imaging

                                    • Pathology

                                      • Clinical Issues

                                        TERMINOLOGY

                                        • Definitions

                                          • Injury to pancreas

                                        IMAGING

                                        • General Features

                                          • CT Findings

                                            • MR Findings

                                              • Ultrasonographic Findings

                                                • Fluoroscopic Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Staging, Grading, & Classification

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  Selected References

                                                                  1. Ibrahim A et al: CT and MRI findings in pancreatic trauma in children and correlation with outcome. Pediatr Radiol. 50(7):943-52, 2020
                                                                  2. Coccolini F et al: Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines. World J Emerg Surg. 14:56, 2019
                                                                  3. Rosenfeld EH et al: Management and outcomes of peripancreatic fluid collections and pseudocysts following non-operative management of pancreatic injuries in children. Pediatr Surg Int. 35(8):861-7, 2019
                                                                  4. Rosenfeld EH et al: Comparison of diagnostic imaging modalities for the evaluation of pancreatic duct injury in children: a multi-institutional analysis from the Pancreatic Trauma Study Group. Pediatr Surg Int. 34(9):961-6, 2018
                                                                  5. Koh EY et al: Operative versus nonoperative management of blunt pancreatic trauma in children: a systematic review. Pancreas. 46(9):1091-7, 2017
                                                                  6. Naik-Mathuria BJ et al: Proposed clinical pathway for nonoperative management of high-grade pediatric pancreatic injuries based on a multicenter analysis: a pediatric trauma society collaborative. J Trauma Acute Care Surg. 83(4):589-96, 2017
                                                                  7. Englum BR et al: Management of blunt pancreatic trauma in children: review of the National Trauma Data Bank. J Pediatr Surg. 51(9):1526-31, 2016
                                                                  8. Garvey EM et al: Role of ERCP in pediatric blunt abdominal trauma: a case series at a level one pediatric trauma center. J Pediatr Surg. 50(2):335-8, 2015
                                                                  9. Melamud K et al: Imaging of pancreatic and duodenal trauma. Radiol Clin North Am. 53(4):757-71, viii, 2015
                                                                  10. Alemayehu H et al: Multi-institutional experience with penetrating pancreatic injuries in children. Pediatr Surg Int. 30(11):1107-10, 2014
                                                                  11. Iqbal CW et al: Operative vs nonoperative management for blunt pancreatic transection in children: multi-institutional outcomes. J Am Coll Surg. 218(2):157-62, 2014
                                                                  12. Sheybani EF et al: Pediatric nonaccidental abdominal trauma: what the radiologist should know. Radiographics. 34(1):139-53, 2014
                                                                  13. Westgarth-Taylor C et al: Paediatric pancreatic trauma: a review of the literature and results of a multicentre survey on patient management. S Afr Med J. 104(11 Pt 2):803-7, 2014
                                                                  14. Egbert ND et al: Magnetic resonance imaging of the pediatric pancreaticobiliary system. Magn Reson Imaging Clin N Am. 21(4):681-96, 2013
                                                                  15. Paul MD et al: The management of pancreatic injuries in children: operate or observe. J Pediatr Surg. 46(6):1140-3, 2011
                                                                  16. Wood JH et al: Operative vs nonoperative management of blunt pancreatic trauma in children. J Pediatr Surg. 45(2):401-6, 2010
                                                                  17. de Blaauw I et al: Pancreatic injury in children: good outcome of nonoperative treatment. J Pediatr Surg. 43(9):1640-3, 2008
                                                                  18. Körner M et al: Current role of emergency US in patients with major trauma. Radiographics. 28(1):225-42, 2008
                                                                  19. Linsenmaier U et al: Diagnosis and classification of pancreatic and duodenal injuries in emergency radiology. Radiographics. 28(6):1591-602, 2008
                                                                  20. Venkatesh SK et al: CT of blunt pancreatic trauma: a pictorial essay. Eur J Radiol. 67(2):311-20, 2008
                                                                  21. Mattix KD et al: Pediatric pancreatic trauma: predictors of nonoperative management failure and associated outcomes. J Pediatr Surg. 42(2):340-4, 2007
                                                                  22. Takishima T et al: Pancreatographic classification of pancreatic ductal injuries caused by blunt injury to the pancreas. J Trauma. 48(4):745-51; discussion 751-2, 2000