Blunt trauma to the pancreas is uncommon and clinical features are often nonspecific
and unreliable leading to possible delays in diagnosis and therefore increased morbidity.
CT has been established as the imaging modality of choice for the diagnosis of abdominal
solid-organ injury in the blunt trauma patient. The introduction of multidetector-row
CT allows for high-resolution scans and multiplanar reformations that improve diagnosis.
Detection of pancreatic injuries on CT requires knowledge of the subtle changes produced
by pancreatic injury. The CT appearance of pancreatic injury ranges from a normal
initial appearance of the pancreas to active pancreatic bleeding. Knowledge of CT
signs of pancreatic trauma and a high index of suspicion is required in diagnosing
pancreatic injury.
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© 2009 Published by Elsevier Inc.
