| Autor: |
Fonseca AZ; Alexandre Zanchenko Fonseca, Marcelo Augusto Fontenelle Ribeiro Jr, Orlando Contrucci, Alexandre Pompeo, Adriana Orsetti, Herico Arsie Neto, Department of General Surgery, University of Santo Amaro, São Paulo-SP, CEP 04601-060, Brazil., Ribeiro MAF Jr, Contrucci O, Pompeo A, Orsetti A, Neto HA |
| Jazyk: |
angličtina |
| Zdroj: |
World journal of gastrointestinal surgery [World J Gastrointest Surg] 2011 Sep 27; Vol. 3 (9), pp. 138-41. |
| DOI: |
10.4240/wjgs.v3.i9.138 |
| Abstrakt: |
Blunt isolated pancreatic trauma is uncommon, accounting for 1%-4% of high impact abdominal injuries. In addition, its diagnosis can be difficult; physical signs may be poor and laboratory findings nonspecific, resulting in delayed treatment. Preserving the spleen during distal pancreatectomy (DP) is controversial. One of the spleen's functions regards immunity; complications following splenectomy include leukocytosis, thrombocytosis, overwhelming post splenectomy sepsis and some degree of immunodeficiency. This is why many authors favor its preservation. We describe a case of a young man with an isolated pancreatic trauma due to a blunt abdominal trauma with a delayed presentation who was treated with spleen-preserving DP and we discuss the value of this procedure with reference to the literature. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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