Observational Study
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Nov 28, 2015; 7(11): 415-420
Published online Nov 28, 2015. doi: 10.4329/wjr.v7.i11.415
Pancreatic trauma: The role of computed tomography for guiding therapeutic approach
Marco Moschetta, Michele Telegrafo, Valeria Malagnino, Laura Mappa, Amato A Stabile Ianora, Dario Dabbicco, Antonio Margari, Giuseppe Angelelli
Marco Moschetta, Michele Telegrafo, Valeria Malagnino, Laura Mappa, Amato A Stabile Ianora, Giuseppe Angelelli, Interdisciplinary Department of Medicine, Section of Diagnostic Imaging, University of Bari Medical School, 70124 Bari, Italy
Dario Dabbicco, Antonio Margari, Department of Emergency and Organ Transplantation, University of Bari Medical School, 70124 Bari, Italy
Author contributions: Moschetta M, Telegrafo M, Malagnino V, Mappa L, Stabile Ianora AA, Dabbicco D, Margari A and Angelelli G contributed to study conception and design; Moschetta M, Telegrafo M and Malagnino V contributed to data acquisition, data analysis and interpretation, and writing of article; Moschetta M, Telegrafo M, Malagnino V, Mappa L, Stabile Ianora AA, Dabbicco D, Margari A and Angelelli G contributed to editing, reviewing and final approval of article.
Institutional review board statement: The study was approved by the local ethical committee.
Informed consent statement: Written informed consent for CT examinations was obtained in all cases.
Conflict-of-interest statement: All authors have no conflict of interests nor financial or personal relationships regarding this paper.
Data sharing statement: Patient data and full dataset are available from the corresponding author. The presented data are anonymised without the risk of identification.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Marco Moschetta, MD, Professor, Interdisciplinary Department of Medicine, Section of Diagnostic Imaging, University of Bari Medical School, Piazza Giulio Cesare 11, 70124 Bari, Italy. marco.moschetta@gmail.com
Telephone: +39-080-5478840 Fax: +39-080-5592911
Received: May 14, 2015
Peer-review started: May 19, 2015
First decision: June 24, 2015
Revised: September 10, 2015
Accepted: October 12, 2015
Article in press: October 13, 2015
Published online: November 28, 2015
Core Tip

Core tip: Pancreatic trauma is associated with high morbidity and mortality especially in case of delayed diagnosis. Computed tomography (CT) represents an accurate imaging tool for recognizing direct and indirect signs of pancreatic trauma and provides useful information to plan therapeutic approach. Among the specific signs, the presence of fluid between the splenic vein and the pancreas represents the most common CT finding suggesting pancreatic injury and the potential of CT for detecting ductal lesions have improved as compared to previous studies, with a 75% detection rate.