Brestas Paraskevas S, Karakyklas Dimitrios, Gardelis John, Tsouroulas Marinos, Drossos Charalampos
Division of Emergency Radiology and Gastrointestinal Radiology, Department of Radiology, General Hospital of Athens, Greece.
JOP. 2006 Jan 11;7(1):51-5.
Isolated pancreatic injuries resulting from non-penetrating trauma are rare. CT is currently the modality of choice in evaluating pancreatic injury. Delay in recognizing patients who need immediate surgery is an important cause of increased morbidity due to specific pancreatic complications.
A 47-year-old man with blunt abdominal trauma after a car accident underwent a CT scan. Initial CT findings included diffuse pancreatic enlargement suggestive of isolated grade 1 pancreatic injury. A follow-up CT scan 3 days later revealed a fracture line at the pancreatic body. Subsequent surgical exploration confirmed the suspicion of concomitant duct transection. Seven months after surgery, a pseudocyst had formed adjacent to the site of the injury.
This case demonstrates the potential importance of serial CT scans in the diagnosis, grading and management of isolated pancreatic injury.
非穿透性创伤导致的孤立性胰腺损伤较为罕见。目前，CT是评估胰腺损伤的首选方式。未能及时识别需要立即手术的患者是特定胰腺并发症导致发病率增加的重要原因。
一名47岁男性在车祸后遭受钝性腹部创伤，接受了CT扫描。最初的CT检查结果显示胰腺弥漫性肿大，提示孤立性1级胰腺损伤。3天后的随访CT扫描显示胰体有一条骨折线。随后的手术探查证实了伴有胰管横断的怀疑。术后7个月，损伤部位附近形成了一个假性囊肿。
本病例证明了系列CT扫描在孤立性胰腺损伤的诊断、分级和管理中的潜在重要性。
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