Article Abstract

Role of multidetector computed tomography in the assessment of pancreatic injuries after blunt trauma: a multicenter experience

Authors: Francesca Iacobellis, Ettore Laccetti, Stefania Tamburrini, Michele Altiero, Francesco Iaselli, Marco Di Serafino, Nicola Gagliardi, Roberta Danzi, Alessandro Rengo, Luigia Romano, Refky Nicola, Mariano Scaglione

Abstract

Pancreatic injuries can occur from either penetrating or blunt abdominal trauma. While there are rare, especially in the setting of blunt abdominal trauma, they are associated with a mortality of up to 30%, and a morbidity of 60%. Multidetector computed tomography (MDCT) is the preferred imaging modality in patients with acute blunt abdominal trauma and for the detection of acute pancreatic injury. Magnetic resonance (MR) and magnetic resonance cholangiopancreatography (MRCP) plays an important role in the follow-up of pancreatic injury. In this brief review, we discuss the main MDCT acute imaging findings as well as the complications. Finally, we discuss the role of MR and MRCP in follow up of patients with pancreatic injuries.

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