Pancreatic injury caused by a fall from height: Transection at the tail

OKTAY C., Durmaz D., Karadeniz O. O., Isik S.

Turkiye Acil Tip Dergisi, cilt.14, sa.2, ss.93-95, 2014 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 14 Sayı: 2
  • Basım Tarihi: 2014
  • Doi Numarası: 10.5505/1304.7361.2014.23230
  • Dergi Adı: Turkiye Acil Tip Dergisi
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.93-95
  • Anahtar Kelimeler: Abdominal trauma, Computed tomography, Pancreatic injury
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Isolated pancreatic injury due to blunt abdominal trauma is rare and may be clinically difficult to diagnose. Parenchymal injuries may not be recognized during initial evaluation. We report the case of a 30-year-old male presented to the Emergency Department (ED) with the complaint of persistent abdominal pain, nausea, and vomiting. His medical history revealed that he fell from a height of approximately 1.5 meters 1 day ago and hit an iron block. He was presented and discharged from another hospital ED. Contrast enhanced computerized tomography (CECT) of the abdomen was ordered during his second presentation and revealed pancreatic parenchymal contusion, laceration, and transection at the tail of pancreas. Our findings suggest that, when there is high index of suspicion for pancreatic injury, a CECT should always be ordered.