Podcast #70: Pancreatic Injuries

a1645dd1-d162-4754-b565-6979540a068aRun Time: 3 minutes

Author: Dr. Brent Levy

Educational Pearls:

  • Pancreatic injuries are generally associated with blunt trauma and high velocity causing compression of the pancreas into the spine.
  • 3-5% of intra-abdominal trauma injuries involve the pancreas.
  • CT scans are not very effective in diagnosing a pancreatic injury. A clinical diagnosis usually comes from relating history with persistent unexplained abdominal pain coupled with possibly an elevated lipase. If there is high suspicion, an ERCP or an MRCP can be performed.
  • Pancreatic injuries, regardless of the timeline of diagnosis, have a high morbidity and mortality rate. These patients often develop pseudocysts, abscess, can have pancreatic death.
  • There are four grades of pancreatic injury. 1 and 2 are managed by NPO status, fluids, and pain medication. 3 and 4 have to do with disruption of the pancreatic tail or complete obliteration of the pancreas.

Link to Podcast:  http://medicalminute.madewithopinion.com/pancreatic-injuries/

References:  http://www.ncbi.nlm.nih.gov/pubmed/12079266

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3870553/

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