USG IS A POOR TOOL IN IDENTIFICATION OF PANCREATIC INJURY:– A CASE REPORT

Dr. Abhaykumar B. Dheeraj*, Dr. Krishnadutt H. Chavali, Dr. Pankaj S. Ghormade, Dr. Bedanta Sarma, Dr. Lekheshwar Yadav

ABSTRACT

In blunt abdominal trauma most commonly involved solid organs are liver and spleen.[1] Pancreas injured only in 5% cases of all blunt trauma injury to abdomen whereas in 20-30% cases of penetrating trauma with morbidity in 30-60% cases and mortality in 10-30% cases.[3,4] Most commonly head and body of pancreas get injured in approximately 65% of pancreatic lesions; neck and tail contributes for the rest.[6] In the present case, a young adult came to a Tertiary care center with blunt trauma over the abdomen, hip and lower limbs following road traffic accident. Two consecutive abdominal USG investigations including FAST done failed to diagnose pancreatic injury during first week of hospital stay. It was diagnosed much later and operated but the patient succumbed due to septicaemic shock probably due to a delayed diagnosis. Due to relatively high mortality associated with pancreatic injuries, though their incidence is low, it is suggested that in cases of BTA, a serum amylase and lipase level should be done for early diagnosis and better outcome of such cases.

Keywords: Pancreas, Retroperitoneum, Blunt Trauma abdomen, Serum Amylase, Serum Lipase.