Trouble in Tiger country: isolated traumatic pancreatic transection - a case report.

Autor: Ramzee AF; Department of Surgery, Trauma Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar., Bakhsh ZK; Department of Surgery, Trauma Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar., Al Jogol H; Department of Surgery, Trauma Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar., Rizoli S; Department of Surgery, Trauma Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar., Peralta R; Department of Surgery, Trauma Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar., El-Menyar A; Department of Surgery, Trauma Surgery, Clinical Research, Hamad General Hospital, Doha, Qatar.; Department of Clinical Medicine, Weill Cornell Medical College, Doha, Qatar., Al-Thani H; Department of Surgery, Trauma Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar., AlMadani A; Department of Surgery, Trauma Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2023 Feb 23; Vol. 2023 (2), pp. rjad071. Date of Electronic Publication: 2023 Feb 23 (Print Publication: 2023).
DOI: 10.1093/jscr/rjad071
Abstrakt: Isolated pancreatic transection is a rare surgical condition that occurs more commonly following blunt abdominal trauma. It carries a high degree of morbidity and mortality, and the management remains a source of debate as universally accepted guidelines are not well established owing to the paucity in clinical experience and large series. We presented a case of an isolated pancreatic transection following blunt abdominal trauma. The surgical management of pancreatic transection has evolved over the decades from aggressive approaches to more conservative measures. Given the lack of large series and clinical experience, no universal consensus exists, except for applying damage control surgery and resuscitation principles in critically unstable patients. For transections of the main pancreatic duct, most recommend excision of the distal pancreas. Concerns over the iatrogenic complications of wide excisions, particularly diabetes mellitus, have led to reconsideration and more conservative approaches, but it may fail in some cases.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023.)
Databáze: MEDLINE
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