Blunt Pancreatic Injury in Major Trauma: Decision-Making between Nonoperative and Operative Treatment

Figure 2

(Patient 1, scan 2) CT scan 25 days after trauma. After iatrogenic removal of drainage, a large retrogastric pseudocyst with a surrounding capsule was observed. Obviously, a narrow aisle was found where fluid accumulation continued to expand caudally below the transverse column. The pseudocyst was again punctured from the left lateral side with 9.5 French Lunderquist drainage, and contrast medium was injected into the pseudocyst cavity. There was a narrow connection path for retrogastric fluid accumulation. Thus, all the caves were drained adequately.