Figure 9e. Pancreatic fracture with disruption of the pancreatic duct in a 27-year-old man after a motor vehicle collision. (a) Axial contrast-enhanced CT scan obtained at presentation shows a fracture of the pancreatic neck (arrow). (b) Axial contrast-enhanced CT scan obtained on day 6 shows expanding fluid collections. (c) Endoscopic retrograde pancreatogram shows transection of the pancreatic duct (arrow) and extravasation of contrast material as large fluid collections (*). However, the segment of the duct upstream of the collections is not demonstrated. (d) Endoscopic retrograde pancreatogram shows a stent in the pancreatic duct (arrow), which was placed during endoscopy. (e, f) Coronal MR images, obtained with the rapid acquisition with relaxation enhancement sequence (e) and with maximum intensity projection reformation of three-dimensional fast spin-echo data (f), show two large fluid collections (*). The segment of the pancreatic duct upstream of the collections is clearly demonstrated (arrow). (g, h) Axial fat-suppressed T1-weighted (g) and T2-weighted (h) MR images obtained 1 month later show resolution of the fluid collections with a residual fracture line (arrows).