Uma Debi, Division of GE Radiology, Department of Superspeciality of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh 160 012, India.
World J Gastroenterol. 2013 Dec 21;19(47):9003-11. doi: 10.3748/wjg.v19.i47.9003.
Traumatic injury to the pancreas is rare and difficult to diagnose. In contrast, traumatic injuries to the liver, spleen and kidney are common and are usually identified with ease by imaging modalities. Pancreatic injuries are usually subtle to identify by different diagnostic imaging modalities, and these injuries are often overlooked in cases with extensive multiorgan trauma. The most evident findings of pancreatic injury are post-traumatic pancreatitis with blood, edema, and soft tissue infiltration of the anterior pararenal space. The alterations of post-traumatic pancreatitis may not be visualized within several hours following trauma as they are time dependent. Delayed diagnoses of traumatic pancreatic injuries are associated with high morbidity and mortality. Imaging plays an important role in diagnosis of pancreatic injuries because early recognition of the disruption of the main pancreatic duct is important. We reviewed our experience with the use of various imaging modalities for diagnosis of blunt pancreatic trauma.
胰腺创伤罕见且难以诊断。相比之下，肝脏、脾脏和肾脏的创伤较为常见，通常很容易通过影像学手段来识别。胰腺损伤在不同的诊断影像学手段下通常不易识别，并且在广泛的多器官创伤的情况下，这些损伤往往容易被忽视。胰腺损伤最明显的表现是外伤性胰腺炎，伴有血液、水肿和前肾旁间隙的软组织浸润。外伤性胰腺炎的改变可能不会在创伤后数小时内显示出来，因为它们是时间依赖性的。外伤性胰腺损伤的延迟诊断与高发病率和死亡率相关。影像学在胰腺损伤的诊断中起着重要的作用，因为早期识别主胰管的破裂是很重要的。我们回顾了使用各种影像学方法诊断钝性胰腺创伤的经验。
