Blunt pancreatic trauma: A persistent diagnostic conundrum?

Figure 12 A 35-year-old man with history of road traffic accident. CECT axial image (A) shows bulky hypoattenuating pancreas (black arrow) with peripancreatic fluid. No definite laceration was seen on CT and patient was kept on conservative management. MRI done 4 d later show hematoma/collection in neck of pancreas (long white arrows B and C). The duct was seen to communicate with the hematoma and MRCP showed cut off of duct at site of injury (short white arrow D). The patient subsequently underwent distal pancreatectomy. CECT: Contrast enhanced computed tomography; MRI: Magnetic resonance imaging; MRCP: Magnetic resonance pancreatography; CT: Computed tomography.