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.
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H. Mathilda Horst (1989) studied this question.
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