Pancreatic Injury Caused By A Fall From Height: Transection at the Tail
Cem OKTAY1, Dilek DURMAZ2, Ozgur Onder KARADENIZ3, Soner ISIK4
1Department of Emergency Medicine, Akdeniz University Faculty of Medicine, Antalya
2Department of Emergency Medicine, Sevket Yılmaz Training and Research Hospital, Bursa
3Department of Emergency, Balikesir State Hospital, Baliskesir
4Department of Emergency, Antalya Life Hospital, Antalya
Keywords: Abdominal trauma; computed tomography; pancreatic injury
Isolated pancreatic injury due to blunt abdominal trauma is rare and may be clinically difficult to diagnose. Parenchymal injuries may not be recognized during initial evaluation. We report the case of a 30-year-old male presented to the Emergency Department (ED) with the complaint of persistent abdominal pain, nausea, and vomiting. His medical history revealed that he fell from a height of approximately 1.5 meters 1 day ago and hit an iron block. He was presented and discharged from another hospital ED. Contrast enhanced computerized tomography (CECT) of the abdomen was ordered during his second presentation and revealed pancreatic parenchymal contusion, laceration, and transection at the tail of pancreas. Our findings suggest that, when there is high index of suspicion for pancreatic injury, a CECT should always be ordered.