Dreizin David, Bordegaray Matthew, Tirada Nikki, Raman Siva P, Kadakia Kevin, Munera Felipe
Department of Radiology, The Johns Hopkins Hospital, 601 N. Caroline Street/JHOC Room 3235A, Baltimore, MD, 21287, USA,
Emerg Radiol. 2013 Dec;20(6):517-27. doi: 10.1007/s10140-013-1133-9. Epub 2013 Jun 6.
Blunt pancreatic trauma almost always occurs in the setting of multiple severe injuries, and is usually diagnosed within the context of whole-body trauma CT. Associated injuries may flag the pancreas for greater scrutiny. Main duct laceration is the primary determinant of the need for surgical intervention. Characterization is improved with advanced post-processing techniques. We present useful diagnostic pearls, describe key pitfalls, and review advancements in the evaluation of pancreatic trauma at whole-body MDCT.
钝性胰腺创伤几乎总是发生在多发严重损伤的情况下，通常在全身创伤CT检查时被诊断出来。合并伤可能提示需要对胰腺进行更仔细的检查。主胰管撕裂是决定是否需要手术干预的主要因素。先进的后处理技术可提高诊断的准确性。我们介绍有用的诊断要点，描述关键的陷阱，并回顾全身MDCT在胰腺创伤评估方面的进展。
