The use of MRCP in the detection of pancreatic injuries after blunt trauma |
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Authors: | Email author" target="_blank">Alfonso?RagozzinoEmail author Riccardo?Manfredi Mariano?Scaglione Rosaria?De?Ritis Stefania?Romano Antonio?Rotondo |
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Institution: | (1) Department of Radiology, A.O.R.N. Cardarelli Hospital, Naples, Italy,;(2) Department of Radiology, University Policlinico "A. Gemelli", Rome, Italy,;(3) DMIMIP, Imaging Division, Policlinico, Bari, Italy,;(4) , Via Fiorelli 12, 80121, Napoli, Italy, |
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Abstract: | From January 2000 to November 2001, five consecutive, hemodynamically stable trauma patients (age range 8–69 years, mean age
34 years) with parenchymal injurieswere evaluated by magnetic resonance imaging (MRI) with magnetic resonance cholangiopancreatography (MRCP). One patient also
underwent a MRCP-facilitated secretin test. MRI depicted pancreatic laceration in two patients, ductal disruption and a post-traumatic
intraparenchymal pseudocyst in one, migrating pancreatic fluid collection in the mediastinal space with disruption in another,
and main pancreatic duct rupture and dilatation in the patient evaluated with MRCP following secretin administration. MRI
with MRCP is an effective noninvasive test for detecting and managing pancreatic injuries after blunt trauma. Secretin administration
improves ductal visualization, particularly of nondilated ducts. Finally, MRI was useful in the follow-up studies of parenchymal
damage and minor ductal injuries, providing high-quality images of the pancreatic duct and biliary tract.
Electronic Publication |
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Keywords: | Pancreatic duct injury Pancreatic ducts MRCP Abdominal trauma MRI |
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