CASE 131
History: A 17-year-old girl presents to the emergency department inebriated and complaining of abdominal pain.
1. What should be included in the differential diagnosis of the imaging finding shown in the figure? (Choose all that apply.)
2. Which of the following statements regarding the clinical aspects of pancreatic trauma is true?
A. Pancreatic injury is more common with blunt trauma than with penetrating injuries.
B. Adults are more likely to sustain pancreatic injury in the same clinical scenario.
C. Pancreatic injury occurs in about 10% of blunt abdominal trauma cases.
D. Elevated serum amylase is a reliable indicator of pancreatic injury.
3. What is the most important issue in suspected pancreatic injury?
A. Injury of the main pancreatic duct.
B. There is often associated skeletal injury.
