Traumatic injury to the pancreas is rare and difficult to diagnose. In contrast, traumatic injuries to the liver, spleen and kidney are common and are usually identified with ease by imaging modalities. Pancreatic injuries are usually subtle to identify.
Pancreatic trauma occurs in approximately 4% of all patients sustaining abdominal injuries. The pancreas has an intimate relationship with the major upper abdominal vessels, and there is significant morbidity and mortality associated with severe pancreatic injury. Immediate resuscitation and investigations are essential to delineate the nature of the injury, and to plan further management.
- Abdominal pain that may be widespread or in the upper middle part of the abdomen. Your abdomen may also be tender and hard.
- Bruising, swelling, or scratches over the injured area.
- Fever, nausea (upset stomach), or vomiting (throwing up).
- Trouble breathing.
- Signs of shock, including a fast pulse (heartbeat), low blood pressure, and pale, sweaty skin.