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CT of blunt pancreatic trauma—a pictorial essay

  • S. Kundapur Venkatesh
    Affiliations
    (Diagnostic Radiology, National University Hospital, Yaing Loo Lin School of Medicine, National University of Singapore, Singapore 119074, Singapore). Eur J Radiol 2008;67:311-320.
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  • J. Mun Chin Wan
    Affiliations
    (Diagnostic Radiology, National University Hospital, Yaing Loo Lin School of Medicine, National University of Singapore, Singapore 119074, Singapore). Eur J Radiol 2008;67:311-320.
    Search for articles by this author
      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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