Blunt Abdominal Trauma with Complete Transection of the Main Pancreatic Duct - Abstract
A 17 year old male sustained blunt trauma to the epigastrium during a football game. He was transported to a local hospital and evaluated. On admission his blood pressure was 145/96 Pulse – 86 Respiration-16 and oxygen saturation was 98%. His abdomen was soft, non-distended without rebound tenderness. There was no evidence of involuntary guarding. Hemoglobin 13.8 Hematocrit 42 WBC 15,300. INR-1.16 PT 12.6 and PTT 31. Serum lactate was normal at 0.63. His admission amylase was 473 U/L. The admission lipase was 370 U/L. His vital signs remained stable and the initial work up included a CT scan of the abdomen and pelvis. The scan revealed contusion of the body of the pancreas.