June 1989

Emergent Endoscopic Retrograde CholangiopancreatographyA Highly Specific Test for Acute Pancreatic Trauma

Author Affiliations

From the Department of Surgery, Wayne State University, Detroit.

Arch Surg. 1989;124(6):745-746. doi:10.1001/archsurg.1989.01410060117025

• Emergent endoscopic retrograde cholangiopancreatography (ERCP) was assessed as the definitive diagnostic test for acute pancreatic injury in a 23-year-old male automobile driver who sustained blunt abdominal trauma. Despite the patient's quiet, tender abdomen, rising serum amylase level, and an abdominal computed tomographic scan demonstrating probable pancreatic transection, a nonoperative approach was successful when an emergency ERCP demonstrated normal ductal anatomy. This approach is advocated when the presence of a possible pancreatic injury is the only reason for a planned exploratory laparotomy.

(Arch Surg 1989;124:745-746)