Gastroenterology Book

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Pancreatic Trauma

Aka: Pancreatic Trauma, Injury of the Pancreas
  1. See Also
    1. Abdominal Trauma
    2. Splenic Rupture
    3. Liver Laceration
  2. Pathophysiology
    1. Rarely injured due to its fixed and protected position in the Retroperitoneum
  3. Causes
    1. Blunt injury to the epigastrium (e.g. Bicycle handlebar injury)
  4. Symptoms
    1. Nausea or Vomiting
    2. Localized Epigastric Pain radiating into the chest and Shoulders
      1. Biphasic pain timing
      2. Pain worse with initial injury and subsides over subsequent 2 hours
      3. Pain recurrs and worsens 6-8 hours after injury
  5. Signs
    1. Abdominal Wall Ecchymosis
    2. Focal abdominal tenderness
    3. Abdominal guarding
    4. Abdominal Rebound Tenderness
  6. Labs
    1. Comprehensive Metabolic Panel
    2. Complete Blood Count
    3. Serum Lipase
  7. Imaging
    1. CT Abdomen and Pelvis with IV Contrast
      1. First-line study in suspected pancreatic injury
    2. Endoscopic Retrograde Cholangiopancreatography (ERCP) or MRCP
      1. Consider in suspected pancreatic duct injury (missed on CT Abdomen)
  8. Management
    1. Aggressive intravenous hydration (Lactated Ringers)
    2. Correct Electrolyte abnormalities
    3. Evaluate for associated intraabdominal injuries
  9. Prognosis
    1. Pancreatic Trauma is associated with increased morbidity and mortality
  10. References
    1. Dreis (2020) Crit Dec Emerg Med 34(7):3-21

Injury of pancreas (C0273163)

Concepts Injury or Poisoning (T037)
ICD10 S36.2
SnomedCT 210271004, 61823004
Italian Traumatismo del pancreas, Trauma del pancreas
Dutch pancreastrauma, letsel; pancreas, pancreas; letsel, Letsel van pancreas, pancreasletsel
French Traumatisme pancréatique, Lésion du pancréas
German Pankreastrauma, Verletzung des Pankreas, Pankreasverletzung
Portuguese Traumatismo pancreático, Lesão traumática do pâncreas
Spanish Traumatismo pancreático, injuria pancreática, lesión traumática del páncreas (trastorno), lesión traumática del páncreas, Lesión traumática del páncreas
Japanese 膵損傷, ｽｲｿﾝｼｮｳ
Czech Poranění pankreatu, Trauma pankreatu
English Pancreatic injury, Pancreatic trauma, pancreatic injury, trauma pancreatic, injuries pancreas, pancreatic trauma, pancreas injury, injury of pancreas (diagnosis), injury of pancreas, injury to gastrointestinal tract pancreas, Injury of pancreas, Injury of pancreas (disorder), injury; pancreas, pancreas; injury, Injury of pancreas, NOS, Pancreatic Injury, Pancreatic Trauma
Korean 췌장(이자)의 손상
Hungarian Pancreas trauma, Pancreas-sérülés
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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