AI Article Synopsis
- Isolated pancreatic injuries from blunt trauma are rare and can't always be detected just through symptoms; a CT scan is essential for diagnosis.
- A 16-year-old patient presented with abdominal pain days after a minor scooter accident, and a CT scan later revealed a complete pancreatic transection, leading to surgery and complications.
- All trauma cases should be assessed carefully for potential abdominal injuries, emphasizing the need for imaging, as seemingly harmless conditions can hide serious injuries.
Article Abstract
Background: Isolated pancreatic injury after blunt abdominal trauma is rare but unreliably excludable based on clinical symptoms. A CT-abdomen is the golden standard in diagnosing. Undiagnosed pancreatic injury can result in severe complications as abscesses and fistulas.
Case Description: A sixteen-year old patient was brought to the Emergency Department (ED) with epigastric pain, two days after a low-energy scooter accident. No (abdominal) alarming symptoms were objectified during direct assessment by the general practitioner. However, a complete pancreatic transection was diagnosed after assessment at the ED, eventually resulting in a distal pancreatectomy with postoperative associated complications.
Conclusion: In all traumas, the mechanism of injury should be judged critically for the possibility of abdominal injury (as pancreatic damage) and thus the need for imaging. An initially harmless clinical condition can mask extensive injury. This case illustrates the importance of thoughtful expectant policies with return instructions or demarcated follow-up when no CT-scan is performed.
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