Concomitant Occult Post-traumatic Pancreatic Transection and Duodenal Contusion: a Case Report
WSC Cheong, RSZ Yiin, KM Wong, TJ Tan, S Wang
Hong Kong J Radiol 2019;22:e5-8
https://doi.org/10.12809/hkjr1916946
A 33-year-old man presented to the emergency department after sustaining blunt abdominal trauma which led to concomitant pancreatic transection and duodenal contusion complicated by distal duodenal obstruction. We highlight the value of serial computed tomography and delayed fluoroscopy in establishing a definitive diagnosis and reiterate the importance of potential pitfalls that may be encountered in the initial imaging assessment and clinical management of such severe injuries.
Author affiliation(s):
WSC Cheong, RSZ Yiin, KM Wong, TJ Tan, S Wang: Department of Radiology, Changi General Hospital, Singapore
中文摘要
隱匿性創傷後胰腺橫斷和十二指腸挫傷同時發生：病例報告
張素翠、尹仕祖、王康敏、陳天勁、王詩苑
一名33歲男性因腹部鈍傷導致同時發生胰腺橫斷和十二指腸挫傷以及併發十二指腸遠端梗阻就急診。本病例報告強調系列CT掃描和延時X光透視檢查對確診的價值，並重申這種嚴重損傷的初始影像學評估和臨床處理可能遇到的潛在誤診可能。