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Tue Apr 29 15:22:18 BST 2008

Anthony,
The problem isn't so much the bleeding, but rather the enzymatic
auto-digestion of the peri-pancreatic tissues after a pancreas is
injured but not noted on CT or PE - especially  after blunt injury.
Ron

>>> Anthony Caruso <medic541 at hotmail.com> 4/29/2008 10:14 AM >>>

Ron, is it because the bleeds tend to be slow and are well hidden by
the pancreas itself? If there is bleeding is it venous ?
Anthony Caruso /NREMT-P

> Date: Tue, 29 Apr 2008 09:55:18 -0400> From: Rgross at harthosp.org> To:
trauma-list at trauma.org> Subject: Re: pancreatic injury...> > 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> --> trauma-list :
TRAUMA.ORG> To change your settings or unsubscribe visit:>
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