Emergent endoscopic retrograde cholangiopancreatography. A highly specific test for acute pancreatic trauma.
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.
Hayward
S R
SR
Department of Surgery, Wayne State University, Detroit, MI.
Lucas
C E
CE
Sugawa
C
C
Ledgerwood
A M
AM
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
D000681:Amylases