Ileus and feeding difficulty are other common challenges. Elemental tube feeding formulas are thought to provoke less pancreatic stimulation and may be better tolerated [ 7 ]. [link.springer.com]

Diagnosis requires high level of suspicion, usually initial symptoms are non specific and vague, presents with mid epigastric pain or back pain following trauma. [omicsonline.org]

Patients with early symptoms may report brief post-traumatic epigastric pain that has completely subsided. Pain may be absent for several days, even in the case of complete transaction with avulsion of the pancreatic duct. [med-ed.virginia.edu]

• Dull epigastric pain or back pain – due to contained fracture of the spleen with retroperitoneal hematoma or leak. • severe peritoneal irritation 9. [slideshare.net]

Pancreatic cysts are regarded symptomatic when there is hyperamylasemia, recent-onset diabetes, severe epigastric pain, weight loss, steatorrhea, or jaundice. [radiologyassistant.nl]

Rarely, a contained fracture of the spleen with retroperitoneal hematoma or leak manifests as dull epigastric pain or back pain, but the more common scenario is for patients to exhibit severe peritoneal irritation and a positive abdominal examination [emedicine.medscape.com]

She also complained of repeated bilious vomiting and distension of abdomen. Clinical examination revealed an ill-looking patient with increased heart rate and respiratory rate. She was apyrexic, conscious, well oriented. [ijri.org]

Outcome measures evaluated were the incidence of acute pancreatitis, hyperamylasemia, and pancreatic pain. [ncbi.nlm.nih.gov]

In addition to all those you mentioned, we also partner with anesthesiologists who treat both surgical and chronic pancreatic pain, and gastroenterologists who specialize in pancreatic imaging techniques. [ucsfhealth.org]

Ann Surg, May 1978 AXR: Fracture lumbar spine, retroperitoneal air bubbles along psoas / kidney; displacement of stomach and T colon, generalized ground glass appearance Limitation of PDL fluid to lesser sac Pancreatic lesion missed on USG due to retroperitoneal [slideplayer.com]