Pancreatic Trauma
Basics
Description
Description
- Direct epigastric blow compressing pancreas against vertebral column resulting in blunt trauma
- Injury to pancreas from penetrating object
Pediatric Considerations
- Trauma affects proportionately larger areas, leading to multisystem injuries
- Children have less protective muscle and SC tissue
- Malpositioned seat belts and child abuse need to be considered in small children
- Children will less often present with hypotension
Etiology
Etiology
- Penetrating trauma: Most common mechanism
- Blunt trauma: Deep location of pancreas requires significant force to cause injury:
- Steering wheel, seat belts, or bicycle handlebars to abdomen
- In children, evaluate for nonaccidental trauma
Commonly Associated Conditions
90% of pancreatic injuries associated with injuries to adjacent structures:Commonly Associated Conditions
- Liver, stomach
- Major arteries and veins
- Spleen, kidney
- Duodenum, colon, small bowel
- Common bile duct, gallbladder
- Spine: Chance fracture
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Citation
Schaider, Jeffrey J., et al., editors. "Pancreatic Trauma." 5-Minute Emergency Consult, 6th ed., Lippincott Williams & Wilkins, 2020. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307163/all/Pancreatic_Trauma.
Pancreatic Trauma. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307163/all/Pancreatic_Trauma. Accessed December 10, 2024.
Pancreatic Trauma. (2020). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (6th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307163/all/Pancreatic_Trauma
Pancreatic Trauma [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. [cited 2024 December 10]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307163/all/Pancreatic_Trauma.
* Article titles in AMA citation format should be in sentence-case
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