A 33-year-old man presented to the emergency department after sustaining blunt abdominal trauma which led to concomitant pancreatic transection and duodenal contusion complicated by distal duodenal obstruction. We highlight the value of serial computed tomography and delayed fluoroscopy in establishing a definitive diagnosis and reiterate the importance of potential pitfalls that may be encountered in the initial imaging assessment and clinical management of such severe injuries.
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