Melamud Kira, LeBedis Christina A, Soto Jorge A
Department of Radiology, Boston University Medical Center, 820 Harrison Avenue, FGH Building 3rd Floor, Boston, MA 02118, USA.
Department of Radiology, Boston University Medical Center, 820 Harrison Avenue, FGH Building 3rd Floor, Boston, MA 02118, USA.
Radiol Clin North Am. 2015 Jul;53(4):757-71, viii. doi: 10.1016/j.rcl.2015.02.009. Epub 2015 Apr 4.
Pancreatic and duodenal injuries are rare but life-threatening occurrences, often occurring in association with other solid organ injuries. Findings of pancreatic and duodenal trauma on computed tomography and MR imaging are often nonspecific, and high levels of clinical suspicion and understanding of mechanism of injury are imperative. Familiarity with the grading schemes of pancreatic and duodenal injury is important because they help in assessing for key imaging findings that directly influence management. This article presents an overview of imaging of blunt and penetrating pancreatic and duodenal injuries, including pathophysiology, available imaging techniques, and variety of imaging features.
胰腺和十二指肠损伤虽罕见，但可危及生命，常与其他实体器官损伤同时发生。计算机断层扫描（CT）和磁共振成像（MR）对胰腺和十二指肠创伤的表现通常缺乏特异性，因此高度的临床怀疑以及对损伤机制的了解至关重要。熟悉胰腺和十二指肠损伤的分级方案很重要，因为这有助于评估直接影响治疗的关键影像学表现。本文概述了钝性和穿透性胰腺及十二指肠损伤的影像学检查，包括病理生理学、可用的成像技术以及各种影像学特征。
