True in Pancreas trauma | PGIMER entrance Preparations

True in Pancreas trauma: 

a. Solitary involvement common 
b. Blunt injury usual cause 
c. Always surgery needed 
d. Amylase increased in 90% cases 
e. HRCT is investigation of chice

Ans: (D) Amylase increased in 90% cases; (E) HRCT investigation of choice;

* Great majority of pancreatic injuries are caused by penetrating mechanisms & are often associated with significant

injuries involving other intraabdommal organs

* A rise in pancreatic amylase occurs 80-90% of cases, though has limited diagnostic utility in first three hrs.

* The new generation CT scanners (HRCTcan diagnose pancreatic injury accurately