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A Concept of Evolving Injury

H. Mathilda Horst, MD; Brack A. Bivins, MD

Arch Surg. 1989;124(9):1093-1095.

Abstract
• 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.

(Arch Surg. 1989;124:1093-1095)

Author Affiliations
From the Division of Trauma and Critical Care Surgery, Henry Ford Hospital, Detroit, Michigan.

Footnotes
Accepted for publication March 27, 1989.

Reprint requests to Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI 48202 (Dr Horst).

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