Skip to main content
SpringerLink
Log in

Computed Tomography in Pancreatic and Duodenal Injuries

  • Chapter
  • First Online:
CT Scan in Abdominal Emergency Surgery

Part of the book series: Hot Topics in Acute Care Surgery and Trauma ((HTACST))

  • 1013 Accesses

Abstract

Excluding unstable patients requiring urgent surgical exploration, the majority of patients will undergo diagnostic workup. Computed tomography (CT) is the main diagnostic tool, especially after blunt abdominal trauma but increasingly also after penetrating abdominal injury. Besides diagnosing pancreatic, duodenal, and associated organ injuries, it can also be used to grade the injuries for severity. This is very important in pancreatic injuries where the presence or absence of main pancreatic duct disruption often determines if the patient needs surgical management. The grading is not so important in duodenal injuries where the presence and location of full-thickness duodenal wall perforation provide more useful information in choosing the best management strategy. In addition to diagnostic workup and injury grading, CT plays also an important role in detecting delayed injuries as well as complications after surgical management.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

Bibliography

  1. Asensio JA, Petrone P, Roldan G, Pak-art R, Salim A. Pancreatic and duodenal injuries. Complex and lethal. Scand J Surg. 2002;91:81–6.

    Article  CAS  PubMed  Google Scholar 

  2. Debi U, Kaur R, Prasad KK, Sinha KK, Sinha A, Singh K. Pancreatic trauma: a concise review. World J Gastroenterol. 2013;19(47):9003–11.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Gupta A, Stuhlfaut JW, Fleming KW, Lucey BC, Soto JA. Blunt trauma of the pancreas and biliary tract: a multimodality imaging approach to diagnosis. Radiographics. 2008;24:1381–95.

    Article  Google Scholar 

  4. Leppäniemi A, Haapiainen R, Kiviluoto T, Lempinen M. Pancreatic trauma: acute and late manifestations. Br J Surg. 1988;75:165–7.

    Article  PubMed  Google Scholar 

  5. Melamud K, LeBedis CA, Soto JA. Imaging of pancreatic and duodenal trauma. Radiol Clin N Am. 2015;53:757–71.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Meilahti Hospital, Abdominal Center, Helsinki University Hospital, Haartmaninkatu 4, 00029, Helsinki, HUS, Finland

    Ari Leppäniemi M.D., Ph.D.

  2. Meilahti Hospital, Department of Radiology, Helsinki University Hospital, Haartmaninkatu 4, 00029, Helsinki, HUS, Finland

    Eila Lantto M.D., Ph.D.

Authors
  1. Ari Leppäniemi M.D., Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Eila Lantto M.D., Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ari Leppäniemi M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Emergency and Trauma Surgery, Ospedale Maggiore di Parma Emergency and Trauma Surgery, Parma, Parma, Italy

    Fausto Catena

  2. Cambridge Colorectal Unit, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke’s Hospital, Cambridge, United Kingdom

    Salomone Di Saverio

  3. General, Emergency and Trauma Surgery, Department Bufalini Hospital, Cesena, Italy

    Luca Ansaloni

  4. General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy

    Federico Coccolini

  5. Department of Surgery, Macerata Hospital, Macerata, Italy

    Massimo Sartelli

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Cite this chapter

Leppäniemi, A., Lantto, E. (2018). Computed Tomography in Pancreatic and Duodenal Injuries. In: Catena, F., Di Saverio, S., Ansaloni, L., Coccolini, F., Sartelli, M. (eds) CT Scan in Abdominal Emergency Surgery. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-319-48347-4_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-48347-4_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-48346-7

  • Online ISBN: 978-3-319-48347-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation