Case of the month february 2011: Trauma

Pancreatic rupture with hemoperitoneum

Ultrasound Images & Clips

Pancreatic rupture with hemoperitoneum

Hemoperitoneum wirh blood in the lower abdomen transverse
Hemoperitoneum wirh blood in the lower abdomen transverse
Hemoperitoneum wirh blood in the lower abdomen longitudinal
Hemoperitoneum wirh blood in the lower abdomen longitudinal
No blood around the spleen transverse
No blood around the spleen transverse
No blood around the spleen longitudinal
No blood around the spleen longitudinal

There is no blood in Morrisons pouch and the initial image of the pancreas looks normal

No blood in Morrisons pouch
No blood in Morrisons pouch
The initial image of the pancreas looks normal
The initial image of the pancreas looks normal

There is a small effusion around the pancreatic tail and a contour irregularity of the pancreas

Small effusion around the pancreatic tail
Small effusion around the pancreatic tail
Contour irregularity of the pancreas
Contour irregularity of the pancreas
Contour irregularity of the pancreas
Contour irregularity of the pancreas
Small effusion around the pancreatic tail
Small effusion around the pancreatic tail

A control examination 2 days later shows a complete dissection of the pancreas at the site of the contour irregularity and increased effusion

Larger effusion around the pancreas
Larger effusion around the pancreas
Pancreas rupture
Pancreas rupture
Pancreas rupture
Pancreas rupture
Pancreas rupture
Pancreas rupture

There is an increase in the amount of peripancreatic and intra abdominal fluid

Increased amount of peripancreatic fluid
Increased amount of peripancreatic fluid
Fluid in Morrisons pouch
Fluid in Morrisons pouch
Lower abdomen transverse
Lower abdomen transverse
Lower abdomen longitudinal
Lower abdomen longitudinal

There is an accumulation of fluid around the pancreatic tail

Fluid around the pancreatic tail
Fluid around the pancreatic tail
Fluid around the pancreatic tail
Fluid around the pancreatic tail
Fluid around the pancreatic tail
Fluid around the pancreatic tail
Fluid around the pancreatic tail
Fluid around the pancreatic tail

Pancreatic rupture with hemoperitoneum

Videoclip
Videoclip
Videoclip
CT

The fluid collections were treated with a percutaneous drainage

Percutaneous drainage catheter
Percutaneous drainage catheter
Percutaneous drainage catheter
Percutaneous drainage catheter

After percutaneous drainage the fluid collections are gone

Pancreas after drainage
Pancreas after drainage
Pancreatic duct ending at the site of the rupture
Pancreatic duct ending at the site of the rupture
Pancreatic duct ending at the site of the rupture
Pancreatic duct ending at the site of the rupture
Pancreas after drainage
Pancreas after drainage

Created with

  • Hitachi Ultrasound System