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Tue Apr 29 14:55:18 BST 2008

Joe,

Unfortunately, it is NOT an uncommon occurance - there can indeed be pancreatic injury not noted on CT and not noted on initial PE, but one that manifests later on in the course of the day, 12 - 24 hours, in my experience.  I guess now the question I would ask is just what are you calling significant, and what is not?

Ron

>>> <joe.nemeth at mcgill.ca> 4/29/2008 9:36 AM >>>

Question:

Although it is well known that traumatic pancreatic injury is poorly 
seen on CT...especially early on, I want to know how many of you have 
seen significant pancreatic injury which is occult, i.e. benign abdomen 
on exam...

Timing of exam make a difference?...

Will let you know why I am asking later...

thanks,

Joe

Joe Nemeth MD
Dept. of Emergency Medicine
McGill University
Montreal
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