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Feb 28, 2016 (publication date) through Mar 4, 2026
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World Journal of Radiology
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1949-8470
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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Feb 28, 2016; 8(2): 159-173
Published online Feb 28, 2016. doi: 10.4329/wjr.v8.i2.159
Blunt pancreatic trauma: A persistent diagnostic conundrum?
Atin Kumar, Ananya Panda, Shivanand Gamanagatti
Atin Kumar, Ananya Panda, Shivanand Gamanagatti, Department of Radiology, All India Institute of Medical Sciences, New Delhi 110029, India
Author contributions: Kumar A was responsible for deciding the overall contents and flow of information in the paper and editing the images; Panda A was responsible for the actual writing and organisng references and tables; Gamanagatti S gave inputs on contents and provided images.
Conflict-of-interest statement: The authors declare no conflicts of interest regarding this manuscript.
Correspondence to: Dr. Atin Kumar, MD, DNB, Additional Professor, Department of Radiodiagnosis, All India Institute of Medical Sciences, Ansari Nagar, Room no 63, New Delhi 110029, India. dratinkumar@gmail.com
Telephone: +91-98-68398507 Fax: +91-11-26588663
Received: June 1, 2015
Peer-review started: June 4, 2015
First decision: July 31, 2015
Revised: August 24, 2015
Accepted: December 13, 2015
Article in press: December 15, 2015
Published online: February 28, 2016
Processing time: 271 Days and 3.4 Hours
Core Tip

Core tip: Pancreatic trauma is an uncommon injury in blunt trauma abdomen. Despite improved multidetector computed tomography (CT) technology, early diagnosis of pancreatic trauma remains difficult. Moreover, pancreatic injury shows evolution with time which affects CT performance in early stages after injury. Diagnosis of pancreatic ductal injury is vital to decide operative vs non-operative management. Magnetic resonance imaging (MRI) with magnetic resonance cholangiopancreatography has superseded encoscopic retrograde cholangio-pancreatography (ERCP) in evaluation of duct in acute injury. This review discusses injury mechanisms, laboratory diagnosis, CT and MRI evaluation, role of ERCP and contrast-enhanced ultrasound, management and complications of pancreatic trauma. Evolution of pancreatic injury has been specifically discussed as it has important management implications.
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