Traumatic pancreatic fistula with sinistral portal hypertension: Surgical management.

Autor: Bojal SA; Shoukat Ahmad Bojal, Kam Fung Leung, Abdul-Wahed Nasir Meshikhes, Department of Surgery, King Fahad Specialist Hospital, Dammam 31444, Saudi Arabia., Leung KF, Meshikhes AW
Jazyk: angličtina
Zdroj: World journal of gastrointestinal surgery [World J Gastrointest Surg] 2010 Jul 27; Vol. 2 (7), pp. 251-4.
DOI: 10.4240/wjgs.v2.i7.251
Abstrakt: Combined ductal and vascular injuries are awesome complications of pancreatic injury. We report on a 29-year-old male unrestrained driver who sustained a blunt abdominal injury from the steering wheel in a high velocity head-on car collision. He developed a pancreatic fistula, portosplenic venous thrombosis and sinistral portal hypertension as a result of complete duct disruption at the pancreatic neck. We describe a safe surgical strategy of spleen-preserving distal pancreatectomy after failed medical and endoscopic management.
Databáze: MEDLINE