Multidisciplinary Diagnosis and Management of Pancreatic Trauma

Abstract

Pancreatic injury occurs in less than 5% of patients who sustain blunt trauma. However, the significant morbidity and mortality associated with pancreatic injury demands a high index of suspicion, a thorough understanding of diagnostic modalities and management options, and access to a multidisciplinary team versed with care of patients with pancreatic injuries. In addition to conventional diagnostic tools and surgery, use of multidetector computed tomography, magnetic resonance imaging, endoscopic retrograde cholangiopancreatography, and percutaneous techniques have revolutionized the diagnosis and management of these complex injuries. Surgical management is now reserved for injuries found at the time of laparotomy, high-grade injuries, and complications of pancreatic injury not amenable or refractory to percutaneous and endoscopic treatments.

Keywords

pancreas - injury - trauma - CT - MRCP - interventional radiology - ERCP

• References

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