RT Journal Article
SR Electronic
T1 Inviting a friend to evaluate potential grade III pancreatic injuries: Are they truly occult, or simply missed on CT?
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP E677
OP E679
DO 10.1503/cjs.001421
VO 64
IS 6
A1 Ball, Chad G.
A1 Clements, Thomas S.
A1 Kirkpatrick, Andrew W.
A1 Vogt, Kelly
A1 Biffl, Walter
A1 Hameed, Morad
YR 2021
UL http://canjsurg.ca/content/64/6/E677.abstract
AB Traumatic inuries to the pancreas are notoriously challenging to diagnose and treat. Detecting a main pancreatic ductal injury can be particularly difficult on screening computed tomography (CT). Twenty-four blinded faculty clinicians from 4 differing specialties and 6 institutions reviewed 9 video CT cases of potential pancreatic ductal injuries. Clinician performance in detection of confirmed grade III pancreatic injuries varied widely among specialties. This heterogeneity confirms the critical need for multidisciplinary care and image interpretation for even “minor” (i.e., not grade IV or V) potential pancreatic injuries to optimize outcomes for injured patients. The ubiquitous availability of electronic devices allows real-time collegial second opinions to be easily available.