Blunt pancreatic injury is an uncommon cause of traumatic abdominal pain. Early diagnosis is difficult due to its subtle initial presentation, both clinically and on imaging study. Dilemma between a watchful expectant management and thorough initial investigation may arise. The management of a 44-year-old man presenting to the emergency department because of generalised trunk pain after blunt trauma is reported.
BradleyE.L.3rd, YoungP.R.Jr, ChangM.C., AllenJ.E., BakerC.C., MeredithW.Diagnosis and initial management of blunt pancreatic trauma: guidelines from a multiinstitutional review. Ann Surg1998; 227(6): 861–9.
2.
EmmickR.H.Jr, PetersenS.R.Evaluation of pancreatic injury after blunt abdominal trauma. Ann Emerg Med1996; 27(5): 658–61.
3.
LucasC.E.Diagnosis and treatment of pancreatic and duodenal injury. Surg Clin North Am1977; 57(1): 49–65.
4.
FeldmanM., FriedmanL.S., SleisengerM.H.Sleisenger & Fordtran's gastrointestinal and liver disease. 7th edition. St. Louis: Saunders; 2002. p. 924.
