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Pancreatic clefts caused by penetrating vessels: a potential diagnostic pitfall for pancreatic fracture on CT
Authors:J C Brandon  S D Izenberg  P A Fields  C Evankovich  G Wilson  S K Teplick
Institution:(1) Department of Radiology, University of South Alabama, 2451 Fillingim Street, Mastin Bldg., Room 315, Mobile, AL 36617–2293, USA e-mail: jbrandon@usamail.usouthal.edu, US;(2) Department of Surgery, University of South Alabama, 2451 Fillingim Street, Mobile, AL 36617–2293, USA, US;(3) Department of Structural and Cellular Biology, University of South Alabama, 2451 Fillingim Street, Mobile, AL 36617–2293, USA, US
Abstract:The diagnosis of pancreatic fracture using computerized tomography (CT) is made by identifying a linear defect in the pancreas, often with a variable amount of peripancreatic fluid. However, the fat surrounding arterial and venous vessels which penetrate the pancreas can give a very similar CT appearance – a previously unreported finding. This report describes the CT appearance of such defects as well as the macroscopic and microscopic analysis of the vessels penetrating the pancreas in a cadaver having this CT finding.
Keywords:Pancreas –  Trauma –  CT
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