Pancreatic Trauma

Česká verzia

Authors: K. Rupert ¹; V. Špidlen ¹; P. Duras ²
Authors place of work: Chirurgická klinika, FN Plzeň, přednosta: prof. MUDr. V. Třeška, DrSc. ¹; Klinika zobrazovacích metod, FN Plzeň, přednosta: doc. MUDr. B. Kreuzberg ²
Published in the journal: Rozhl. Chir., 2011, roč. 90, č. 9, s. 499-503.
Category: Monothematic special - Original

Summary

Injuries to the pancreas are relatively rare, occurring in around 10% of case involving serious trauma to the abdominal cavity, with 65% of such injuries resulting trauma occurs only exceptionally, involving only 5% of all injuries.

The mortality of this entity is influenced by many factors, especially the age of the injured person, the seriousness of the injury, the duration of the shock, the potentially associated trauma, early diagnosis and correct selection of suitable treatment.

The authors present here 4 case reports describing injuries to the pancreas and documenting the diagnostic and therapeutic approaches in cases of this very serious trauma.

Key words:
injuries to the pancreas – diagnosis – treatment

Zdroje

1. Ahmed, N., Vernick, J. J. Pancreatic injury. South Med. J., Dec; 2009, 102(12): 1253–1256.

2. Antonacci, N., Di Saverio, S., Ciaroni, V., Biscardi, A., Giugni, A., Cancellieri, F., Coniglio, C., Cavallo, P., Giorgini, E., Baldoni, F., Gordini, G., Tugnoli, G. Prognosis and treatment of pancreaticoduodenal traumatic injuries: which factors are predictors of outcome? J Hepatobiliary Pancreat Sci., Mar; 2011, 18(2): 195–201.

3. Arvieux, C., Létoublon, C. Traumatic pancreatic injurie. Ann. Chir., Mar; 2005, 130(3): 190–198.

4. Boffard, K. D., Brooks, A. J. Pancreatic trauma injuries to the pancreas and pancreatic duct. Eur J Surg., 2000, 166: 4–12.

5. Bradley, E., Young, P., Chang, M. C., Allen, J. E., Baker, C. C., Meredith, W. Diagnosis and initial management of blunt pancreatic trauma (guidelines from a multi-institutional review). Ann. Surg., 1998, 227: 861–869.

6. Jurkovich, G. J. Duodenum and pancreas. In: Mattox, K. L., Feliciano, D. V., Moore, E. E., editors. Trauma. Northwalk CT: Appleton and Lange; 2005, pp. 709–715.

7. Khan, M. A., Cameron, I. The management of pancreatic trauma. J. R. Army Med. Corps., Dec; 156(4): 221–227.

8. Krige, J. E., Benigfield, S. J., Nicol, A. J., Navsaria, P. The management of complex pancreatic injuries. S. Afr. J. Surg., Aug; 2005, 43(3): 92–102.

9. Lin, B. C., Chen, R. J., Fang, J. F., Hsu, Y. P., Kao, Y. C., Kao, J. L. Management of blunt major pancreatic injury. J. Trauma, 2004, 56: 774–778.

10. Paul, M. D., Money, D. P. The management of pancreatic injuries in children: operate or observe. J. Pediatr. Surg., Jun; 2011, 46(6): 1140–1143.

11. Silveria, H. J., Mantovani, M., Fraga, G. P. Trauma of pancreas: predictor‘s factors of morbidity and mortality related to trauma index. Arq. Gastroenterol., Oct-Dec; 2009, 46(4): 270–278.

12. Tan, K. K., Chan, D. X., Vijayan, A., Chiu, M. T. Management of pancreatic injuries after blunt abdominal trauma. Experience at a single institution. 2009, Nov 5; 10(6): 657–663.