Figure 1a. Fracture of the pancreatic neck in a 35-year-old woman after a motor vehicle collision. (a, b) Axial contrast-enhanced CT scans show extensive liver lacerations (a) and a fracture line at the pancreatic neck (arrowhead in b). (c) Transverse ultrasonographic (US) image shows fluid separating the pancreatic fragments at the fracture site (arrowhead). (d) Image from endoscopic retrograde cholangiopancreatography (ERCP) shows a large collection of extravasated contrast material (arrowheads), which indicates disruption of the pancreatic duct.