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Traumatic Injury of the Duodenum and Pancreas 

Traumatic Injury of the Duodenum and Pancreas
Chapter:
Traumatic Injury of the Duodenum and Pancreas
Author(s):

Khalid Shaqdan

, Refky Nicola

, Ayman Shaqdan

, and Hani H. Abujudeh

DOI:
10.1093/med/9780190223656.003.0025
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date: 21 September 2021

Traumatic injuries of the pancreas and duodenum are particularly challenging to radiologists despite the many advancements in technology and abdominal imaging. Acute pancreatic injuries occur in 0.2% of patients with blunt trauma, and in 1-12% of patients with penetrating injuries, while penetrating injuries have become the leading cause for duodenal injuries in the United States, with gunshot wounds representing 75-80% of cases. Both pancreatic and duodenal injuries are lethal injuries, with mortality rates varying from 9-34% and 6-25%, respectively. Most pancreatic and duodenal injuries are managed operatively and have good outcomes if they are recognized as early as possible. A delayed diagnosis can have serious consequences.

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