• We describe the difficulties in diagnosing a pancreatic injury in two patients with multiple injuries who did not have an obvious need for a celiotomy. Multiple diagnostic tests were employed, but in each patient, there was a delay in the diagnosis of the injury. A pancreatic injury may evolve over time so that repetitive clinical diagnostic studies may be required to evaluate the condition of these patients.
(Arch Surg. 1989;124:1093-1095)
Horst HM, Bivins BA. Pancreatic TransectionA Concept of Evolving Injury. Arch Surg. 1989;124(9):1093-1095. doi:10.1001/archsurg.1989.01410090107024