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Gland Surg. 2019 Apr;8(2):184-196. doi: 10.21037/gs.2019.02.02.

Role of multidetector computed tomography in the assessment of pancreatic injuries after blunt trauma: a multicenter experience.

Gland surgery

Francesca Iacobellis, Ettore Laccetti, Stefania Tamburrini, Michele Altiero, Francesco Iaselli, Marco Di Serafino, Nicola Gagliardi, Roberta Danzi, Alessandro Rengo, Luigia Romano, Refky Nicola, Mariano Scaglione

Affiliations

  1. Department of General and Emergency Radiology, "A. Cardarelli" Hospital, Naples, Italy.
  2. Department of Diagnostic Imaging, "Pineta Grande" Hospital, Castel Volturno, CE, Italy.
  3. Department of Radiology, "Ospedale del Mare" ASL NA1 Centro-Napoli, Naples, Italy.
  4. Department of Radiology, SUNY-Upstate University and Medical Center, Syracuse, NY, USA.
  5. Department of Radiology, Sunderland Royal Hospital, NHS, Sunderland, UK.

PMID: 31183328 PMCID: PMC6534762 DOI: 10.21037/gs.2019.02.02

Abstract

Pancreatic injuries can occur from either penetrating or blunt abdominal trauma. While there are rare, especially in the setting of blunt abdominal trauma, they are associated with a mortality of up to 30%, and a morbidity of 60%. Multidetector computed tomography (MDCT) is the preferred imaging modality in patients with acute blunt abdominal trauma and for the detection of acute pancreatic injury. Magnetic resonance (MR) and magnetic resonance cholangiopancreatography (MRCP) plays an important role in the follow-up of pancreatic injury. In this brief review, we discuss the main MDCT acute imaging findings as well as the complications. Finally, we discuss the role of MR and MRCP in follow up of patients with pancreatic injuries.

Keywords: Pancreatic trauma; blunt trauma; computed tomography (CT); magnetic resonance cholangiopancreatography (MRCP); pancreatic injuries

Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

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