Oral contrast was not administered. Difficult interpretation due to a low-dose scanning technique, widespread subcutaneous and intra-abdominal oedema, as well as lack of oral contrast.
FINDINGS:
Enteric catheter tip lies within the proximal duodenum.
Widespread subcutaneous and intra-abdominal fat stranding and oedema (both intraperitoneal, and retroperitoneal). Multiple locules of free gas in the anterior abdomen. Evidence of subcutaneous emphysema in the left anterior abdominal wall in keeping with recent surgery.
A 1.5 cm defect is present in the body of the pancreas having the appearance of transection. Peripancreatic oedema is present anteriorly predominantly in the lesser sac with no discrete collection.
The liver, spleen, adrenal glands and kidneys appear unremarkable.
A moderate amount of free fluid amongst the small bowel loops.
There is a left-sided pleural effusion. There is minor subsegmental left lower lobe collapse. No bony lesions identified
IMPRESSION:
Likely pancreatic transection (arrows), peripancreatic oedema, free intraperitoneal fluid and left pleural effusion.