Management of isolated pancreatic injury.

Autor: Psychogiou, V., Dellaportas, D., Yiallourou, A., Theodosopoulos, T., Voros, D.
Zdroj: Hellenic Journal of Surgery; Dec2011, Vol. 83 Issue 6, p352-355, 4p
Abstrakt: Aim-Background: Pancreatic trauma (PT) occurs in 3-5% of patients with blunt abdominal trauma, usually as a result of road traffic accidents and sports injuries, and commonly involves young individuals. The aim of this study is to highlight the current diagnostic tools and treatment options for this serious abdominal organ injury. Case-Method: We present the rare case of a 16-year-old male who suffered blunt abdominal injury and pancreatic trauma, with complete laceration of the main pancreatic duct. Operative drainage and necrosectomy was the initial therapeutic approach, followed by conservative management thereafter. A short review of the literature related to pancreatic trauma is presented. Result-Discussion: PT occurs in 3%-5% of patients with severe blunt abdominal trauma [1-3], and presents surgeons with challenging diagnostic and therapeutic dilemmas. Since the main causes seem to be road traffic accidents and sport injuries, young adults and children are mostly affected. Pancreatic injury should be suspected in any patient appearing with blunt abdominal trauma whose serum amylase rates are elevated. Approximately 90% of patients will have one or more associated intra-abdominal injuries. The role of abdominal CT-scanning is determinant in setting the diagnosis of PT; MRCP may be employed for further evaluation. Treatment options vary from conservative management to operative intervention with necrosectomy, drainage of the retroperitoneal space or even pancreatectomy if indicated, according to the site of pancreatic parenchyma and duct injury. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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