Pancreatic Injury Grade IV. and V.

Česká verzia

Authors: V. Kuntscher; T. Kural; V. Třeška; Martin Štěpán ¹ ; J. Ferda ²
Authors place of work: Chirurgická klinika Lékařská fakulta Plzeň, Univerzita Karlova Praha, FN Plzeň přednosta: prof. MUDr. V. Třeška, DrSc. ; Klinika anesteziologie, resuscitace a intenzivní medicíny, Lékařská fakulta Plzeň Univerzita Karlova Praha, FN Plzeň, přednosta: doc. MUDr. E. Kasal, CSc. ¹; Radiodiagnostická klinika Lékařská fakulta Plzeň, Univerzita Karlova Praha, FN Plzeň přednosta: doc. MUDr. B. Kreuzberg, CSc. ²
Published in the journal: Rozhl. Chir., 2008, roč. 87, č. 12, s. 651-653.
Category: Monothematic special - Original

Summary

In spite of being relatively rare, pancreatic injuries can have very serious consequences; morbidity and mortality of more severe pancreatic injuries that have not been recognized early and treated adequately is almost 100%.

We present the case of a 39-year-old man who sustained a stab wound (knife) that resulted in injuries to the vena cava inferior and right-sided renal vein, and cut through the duodenum, common bile duet, major pancreatic duet, and pancreatic head. This condition was treated initially by obtaining hemostasis – suture of the inferior vena cava and right-side renal vein, mobilization and tamponade of the pancreatic head, and ensuring drainage of bile through bile ducts, and then with proximal pancreatoduodenectomy.

Key words:
pancreas – duodenum – pancreatic injury – panereatoduodenectomy

Zdroje

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