title: Emergent endoscopic retrograde cholangiopancreatography. A highly specific test for acute pancreatic trauma.
abstract: Emergent endoscopic retrograde cholangiopancreatography (ERCP) was assessed as the definitive diagnostic test for acute pancreatic injury in a 23-year-old male automobile driver who sustained blunt abdominal trauma. Despite the patient's quiet, tender abdomen, rising serum amylase level, and an abdominal computed tomographic scan demonstrating probable pancreatic transection, a nonoperative approach was successful when an emergency ERCP demonstrated normal ductal anatomy. This approach is advocated when the presence of a possible pancreatic injury is the only reason for a planned exploratory laparotomy.
authors: Department of Surgery, Wayne State University, Detroit, MI.
authors: S R
authors: SR
authors: Hayward
authors: C E
authors: CE
authors: Lucas
authors: C
authors: C
authors: Sugawa
authors: A M
authors: AM
authors: Ledgerwood
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D000681:Amylases / Q000097:blood; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004630:Emergencies; D006801:Humans; D008297:Male; D010179:Pancreas / Q000201:enzymology / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging* / Q000201:enzymology
chemical_list: D000681:Amylases