Figure 4d. Transection of the pancreatic neck in a 15-year-old boy after a motor vehicle collision. (a) Axial contrast-enhanced CT scan shows a complete fracture of the pancreatic neck with fluid and hemorrhage between the pancreatic fragments; the fluid and hemorrhage track between the pancreas and splenic vein (arrowheads). (b) Axial contrast-enhanced CT scan obtained 5 days later shows expanding fluid collections (*). (c) Endoscopic retrograde pancreatogram shows extravasation of contrast material (arrow), thus confirming the transection of the pancreatic duct. A stent was subsequently placed in the pancreatic duct during endoscopy. (d) Axial contrast-enhanced CT scan obtained 1 month later shows resolution of the fluid collections. Note the indwelling stent (arrows).