International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 4, Issue 2 | Case Report | Open Access DOI

Diagnostic and Therapeutic Challenges in Pancreatic Injury Following Blunt Abdominal Trauma: A Case Report

Abeysinghe AHMGB*

Abeysinghe AHMGB1*, Wanigasekara WAK2, Dharmapala NWTB2, Abeysinghe AHMCD3

1Consultant surgeon, Senior Lecturer (MBBS, MS, FCSSL, FMAS), Faculty of Medicine, Wayamba University of Sri Lanka, Kuliyapitiya, Sri Lanka

2Medical officer, Teaching Hospital, Kurunegala

3Medical Student, Faculty of Medicine, Rajarata University, Anuradapura, Sri lanka

*Correspondence to: Abeysinghe AHMGB 

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Abstract

Pancreatic injury resulting from blunt trauma is rare but carries a high risk of significant morbidity and mortality. Traditional imaging methods often fail to detect pancreatic damage, leading to diagnostic challenges [1]. Isolated pancreatic trauma is particularly uncommon and typically occurs alongside injuries to nearby organs. Potential complications include retroperitoneal fluid collections, pancreatic fistula, ductal strictures, recurrent pancreatitis, pseudocysts, abscess formation, peritonitis, and both endocrine and exocrine insufficiency [2,3]. Although serum amylase can aid in diagnosis, it lacks both sensitivity and specificity. While computed tomography (CT) is widely used to assess hemodynamically stable patients following blunt abdominal trauma, it is not highly sensitive for detecting pancreatic injuries [4]. Contrast-enhanced CT scans can reveal direct pancreatic injuries, while non-contrast CT may show indirect signs [5]. More detailed information can be obtained through MRCP or ERCP imaging.

Keywords:

Pancreatic injury, Blunt abdominal trauma, Serum amylase, Distal pancreatectomy, Splenectomy, postoperative complications

Citation:

Abeysinghe AHMGB, Wanigasekara WAK, Dharmapala NWTB, Abeysinghe AHMCD. Identical Twins Discordant For Bicuspid Aortic. Int Clinc Med Case Rep Jour. 2025;4(2):1-5.