Figure 2e. Fracture of the pancreatic neck in a 36-year-old woman after a motor vehicle collision. (a) Axial CT scan obtained with intravenous contrast material shows separation of the pancreatic head from the body and tail along with extravasation of contrast material (arrowheads), which indicates active hemorrhage. (b) ERCP image shows active extravasation of contrast material (arrowheads) due to transection of the pancreatic duct. (c, d) Intraoperative photographs show the pancreatic fracture (arrowheads in c) and anastomosis of the pancreatic tail with the jejunum (arrowheads in d). Note the pancreatic head (arrow in d), which has been oversewn at the site of fracture. (e) Axial CT scan obtained with intravenous contrast material after surgical repair shows anastomosis of the pancreatic tail with the jejunum (arrowhead). Note the pancreatic head fragment (arrow).