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Multiple gunshot wounds with pancreatic transection in a 40-year-old man. (a) Axial contrast-enhanced CT image of the abdomen and pelvis demonstrates pancreatic laceration (red arrows) with active extravasation (white arrow), indicating direct signs of pancreatic injury. (b) Axial contrast-enhanced CT image shows extensive peripancreatic stranding extending toward the splenic hilum (yellow arrows), which is an indirect sign of pancreatic injury.
