Pseudopancreatitis in Trauma Patients


Olga R. Brook ; Doron Fischer ; Daniela Militianu ; Ayelet Eran ; Ludmila Guralnik ; Shlomi Israelit ; Ahuva Engel

OBJECTIVE: The purpose of our study was to review the significance of intra- and peripancreatic fluid in trauma patients who have no other signs of pancreatic injury.

CONCLUSION: We propose that intra- and peripancreatic fluid may be the consequence of hypovolemic shock treated with hyperhydration when there is significant delay between injury and imaging.

IVC/Aorta ratio for normal nontrauma patients of 0.5–1.3 (mean, 0.86). All patients had decreased hemoglobin values, in the range of 9.8–12.9 g/dL (normal levels at our hospital are 13.5–17.5 g/dL) and decreased hematocrit, in the range of 28.1–37.3% (normal levels, 40–52%). Time to arrival at the hospital was longer for this group of patients than is customary in Israel, which is between 1 hour 55 minutes and 4 hours 45 minutes. Time from hospital admission to the CT examination ranged between 27 minutes and 1 hour 8 minutes. Thus, mean time from injury to CT for these patients was 4 hours 23 minutes (range, 2 hours 22 minutes to 5 hours 53 minutes). No pleural or free peritoneal fluid was observed in these patients. No other signs of hypovolemic shock, such as bowel wall thickening or hyperenhancing adrenal glands, were identified.