Isolated pancreas injury of the 22-years-old man caused by blunt abdominal trauma
Authors:
J. Riegl; J. Smetana
; P. Obruba
Authors place of work:
Traumatogické oddělení, Masarykova nemocnice, Ústí nad Labem
1; Chirurgická klinika IPVZ, Masarykova nemocnice, Ústí nad Labem
2
Published in the journal:
Úraz chir. 19., 2011, č.1
Summary
The authors of the article describe isolated laceration of the pancreas body caused by an impact of a blunt object into abdomen of a 22-years-old man. The hemodynamically stabilized patient underwent a surgery after having been examined through ultrasonography, CT and ERCP. Given the finding of isolated laceration in the area of isthmus, minimal resection of pancreas was carried out, proximal part stiched, pancreatojejuno anastomosis of distal part of pancreas performed together with excluded omega loop of the small intestine, then Brown enteroenteroanastomosis perfomed. Postoperatively, a prepancreatic abscess was drained and then the pancreatic fistula created. The patient discharged from hospital and taken into the outpatient care as of 34th day after the surgery. The pancreatic fistula healed up after 3 month, the patient with no subjective difficulties and with a very good functional outcome.
Key words:
pancreas laceration, blunt abdominal trauma, pancreatojejunal anastomosis.
Zdroje
1. BIGATTINI, D., BOVERIE, J. H., DONDELINGER, R. F. CT of blunt trauma of the pancreas in adults. Eur Radiol. 1999, 9, 244–249.
2. BRADLEY, E. L., YOUNG JR, P. R., CHANG, M. C. et al. Diagnosis and initial management of blunt pancreatic trauma: guidelines from a multiinstitutional review. Ann Surg. 1998, 6, 861–869.
3. ILAHI, O., BOCHICCHIO, G. V., SCALEA, T. M. Efficacy of computed tomography in the diagnosis of pancreatic injury in adult blunt trauma patients: a single-institutional study. Am Surg. 2002, 8, 704–708.
4. KRIGE, J. E., BENINGFIELD, S. J., NICOL, A. J., NAVSARIA, P. The management of complex pancreatic injuries. S Afr J Surg. 2005, 8, 92–102.
5. VYHNÁNEK, F. Současný stav diagnostiky a terapie u tupého a penetrujího poranění břicha. Sanquis. 2002, 22, 15–16.
6. WANG, C.-H., HSU, S-D., HUANG, T.-W., LIU, Y.-C. Blunt abdominal injury with transection of pancreatic neck detected early by abdominal computed tomography. Chir Gastroenterol. 2006, 22, 191–194.
7. WRIGHT, M. J., STANSKI, C. Blunt pancreatic trauma: a difficult injury. South Med J. 2000, 4, 383–385.
Štítky
Surgery Traumatology Trauma surgeryČlánok vyšiel v časopise
Trauma Surgery
2011 Číslo 1
- Spasmolytic Effect of Metamizole
- Metamizole at a Glance and in Practice – Effective Non-Opioid Analgesic for All Ages
- Metamizole in perioperative treatment in children under 14 years – results of a questionnaire survey from practice
- Current Insights into the Antispasmodic and Analgesic Effects of Metamizole on the Gastrointestinal Tract
- Obstacle Called Vasospasm: Which Solution Is Most Effective in Microsurgery and How to Pharmacologically Assist It?
Najčítanejšie v tomto čísle
- Results of Surgical Treatment of Pelvic Fractures at Department of Traumatology Tomas Bata Regional Hospital, Zlín
- Open reduction and internal fixation in dislocated intraarticular calcaneal fractures
- The use of modern angular stable implants in fractures of the distal humerus
- Isolated pancreas injury of the 22-years-old man caused by blunt abdominal trauma