Value of contrast-enhanced arterial phase imaging in addition to portovenous phase in CT evaluation of blunt abdominopelvic trauma

Kawinwongkowit, Kawin; Kaewlai, Rathachai; Kasemassawachanont, Adisak; Chatpuwaphat, Jitti; Kumthong, Nutnaree; Somcharit, Lertpong

doi:10.1007/s00330-022-09208-1

Cited by 4 publications

(1 citation statement)

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“…CT boasts up to 80% sensitivity and specificity in diagnosing pancreatic injuries and is instrumental in investigating and monitoring complica-tions that may lead to morbidity and mortality. [3][4][5] The surgical classification system proposed by the American Association for the Surgery of Trauma (AAST) facilitates the grading of pancreatic injuries. According to this classification, damage to the pancreatic duct, the most significant cause of morbidity, escalates the severity of pancreatic injury.…”

Section: Introductionmentioning

confidence: 99%

Pancreatic injury due to blunt trauma on CT: does retropancreatic fat tissue reduce the severity of pancreatic injury?

Cakmak

2024

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Pancreatic injuries from blunt abdominal trauma have a high mortality rate, often accompanied by injuries to adjacent organs. This study aims to investigate the relationship between the size of retropancreatic adipose tissue and the severity of pancreatic and adjacent organ injuries in patients with pancreatic trauma. METHODS:We retrospectively screened computed tomography (CT) images of 34 patients (25 males, nine females, aged 13-69 years) and 34 controls (28 males, six females, aged 15-66 years) who suffered blunt abdominal trauma. The area of adipose tissue located posterior to the pancreatic body was measured in the axial plane for all subjects. The severity of pancreatic injury was assessed in terms of the injury site, the retropancreatic adipose tissue area, and the degree of other organ injuries.RESULTS: Pancreatic injuries were located in the head for 16 patients (23.5%), in the body for four patients (5.9%), and in the tail for 14 patients (20.6%). The retropancreatic fat area was found to be significantly smaller in patients with pancreatic trauma compared to controls (p<0.0001). Furthermore, the ratio of the retropancreatic fat area to the vertebral corpus area differed significantly between patients with and without pancreatic injuries (p=0.014). CONCLUSION:Retropancreatic adipose tissue protects the pancreatic body from the impacts of blunt abdominal trauma. An increased amount of retropancreatic adipose tissue is associated with a reduced rate of pancreatic injury.

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Section: Introductionmentioning

confidence: 99%