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      Role of multidetector computed tomography in the assessment of pancreatic injuries after blunt trauma: a multicenter experience

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          Abstract

          Pancreatic injuries can occur from either penetrating or blunt abdominal trauma. While there are rare, especially in the setting of blunt abdominal trauma, they are associated with a mortality of up to 30%, and a morbidity of 60%. Multidetector computed tomography (MDCT) is the preferred imaging modality in patients with acute blunt abdominal trauma and for the detection of acute pancreatic injury. Magnetic resonance (MR) and magnetic resonance cholangiopancreatography (MRCP) plays an important role in the follow-up of pancreatic injury. In this brief review, we discuss the main MDCT acute imaging findings as well as the complications. Finally, we discuss the role of MR and MRCP in follow up of patients with pancreatic injuries.

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          Author and article information

          Journal
          Gland Surg
          Gland Surg
          GS
          Gland Surgery
          AME Publishing Company
          2227-684X
          2227-8575
          April 2019
          April 2019
          : 8
          : 2
          : 184-196
          Affiliations
          [1 ]Department of General and Emergency Radiology, “A. Cardarelli” Hospital , Naples, Italy;
          [2 ]Department of Diagnostic Imaging, “Pineta Grande” Hospital, Castel Volturno, CE, Italy;
          [3 ]Department of Radiology, “Ospedale del Mare” ASL NA1 Centro-Napoli, Naples, Italy;
          [4 ]Department of Radiology, SUNY-Upstate University and Medical Center , Syracuse, NY, USA;
          [5 ]Department of Radiology, Sunderland Royal Hospital, NHS, Sunderland, UK
          Author notes

          Contributions: (I) Conception and design: M Scaglione, F Iacobellis; (II) Administrative support: M Scaglione; (III) Provision of study materials or patients: All authors; (IV) Collection and assembly of data: All authors; (V) Data analysis and interpretation: All authors; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.

          Correspondence to: Dr. Francesca Iacobellis, MD, PhD. Department of General and Emergency Radiology, “A. Cardarelli” Hospital, Via A. Cardarelli 9, 80131 Naples, Italy. Email: iacobellisf@ 123456gmail.com .
          Article
          PMC6534762 PMC6534762 6534762 gs-08-02-184
          10.21037/gs.2019.02.02
          6534762
          31183328
          3414fc60-d6f7-4013-ab1f-ec63db7fa07b
          2019 Gland Surgery. All rights reserved.
          History
          : 13 January 2019
          : 14 February 2019
          Categories
          Review Article

          pancreatic injuries,blunt trauma,Pancreatic trauma,magnetic resonance cholangiopancreatography (MRCP),computed tomography (CT)

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