Blunt pancreatic trauma: A persistent diagnostic conundrum?

Figure 11 A 22-year-old man with history of fall of heavy object over abdomen. CECT axial image (A) shows bulky heterogeneously attenuating head of pancreas (arrow). MRI done 28 h after CT (B) shows similar findings with bulky head and altered signal intensity with adjacent fluid (arrow B). No definite laceration seen. Follow-up MRI on day 6 (C) shows a Y shaped laceration in inferior part of head and uncinate process. However the main pancreatic duct was normal (arrow D). Since the MPD was not involved, conservative management was continued. CECT: Contrast enhanced computed tomography; MRI: Magnetic resonance imaging; CT: Computed tomography.