Pancreatic Injuries

  • Margherita Trinci
  • Eva Berardi
  • Giovanna Calabrese
  • Giovanni Maria Garbarino
  • Matteo Pignatelli
  • Vittorio Miele


The pancreas is a relatively uncommon organ to be injured in blunt trauma (0.4%) and often pancreatic lesions are associated with other abdominal organ injuries. Pancreatic lesions especially in adults occur in the event of high energy traumas as car accident, pedestrian injury, or other. In the pediatric patient, the lower thickness of the muscular wall exposes the pancreatic gland even in the case of low energy traumas such as “bicycle handlebars” lesion.

The clinical diagnosis of pancreatic trauma can be difficult, due the poverty of specific symptoms and of laboratory data, especially in the first few hours after the event when the symptoms of damage to other organs can be overwhelming. The delay in diagnosis can be caused by late complications and for this reason it is important to carry out an accurate assessment of the pancreatic parenchyma and the integrity of its duct. Diagnostic imaging utilizes the following study methods depending on the severity of the trauma and eventually for the follow-up: US-CEUS, CT, cholangio-MRI, Endoscopic Retrograde Cholangio-Pancreatography (ERCP).


Trauma Trauma imaging Emergency radiology Blunt abdominal trauma Pancreatic trauma Parenchymal and ductal injury US CEUS CT CholangioMRI Endoscopic Retrograde Cholangio-Pancreatography ECPR  Trauma management 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Margherita Trinci
    • 1
  • Eva Berardi
    • 2
  • Giovanna Calabrese
    • 1
  • Giovanni Maria Garbarino
    • 3
  • Matteo Pignatelli
    • 1
  • Vittorio Miele
    • 4
  1. 1.Department of Emergency RadiologyS. Camillo HospitalRomeItaly
  2. 2.Department of RadiologyS. Andrea Hospital, Sapienza UniversityRomeItaly
  3. 3.Department of SurgeryS. Andrea Hospital, Sapienza UniversityRomeItaly
  4. 4.Department of RadiologyCareggi University HospitalFlorenceItaly

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