scholarly journals Blunt trauma – related isolated pancreatic injury

2013 ◽  
Vol 114 (09) ◽  
pp. 519-522 ◽  
Author(s):  
A. Onder ◽  
M. Kapan ◽  
G. Tekbas ◽  
Z. Arikanoglu ◽  
I. Aliosmanoglu ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Pancreatic Injury ◽  
Isolated Pancreatic Injury

scholarly journals Complete pancreatic duct disruption in an isolated pancreatic injury: successful endoscopic management

2016 ◽  
Vol 2016 (3) ◽  
pp. 44-46 ◽  
Author(s):  
Dilip Chakravarty Kottapalli ◽  
Sreenivasa Devashetty ◽  
Vishwanath Reddapagari Suryanarayana ◽  
Mounika Kilari ◽  
Mohamed Dawood Ismail ◽  
...  
Keyword(s):  
Pancreatic Duct ◽  
Pancreatic Injury ◽  
Endoscopic Management ◽  
Pancreatic Duct Disruption ◽  
Isolated Pancreatic Injury ◽  
Duct Disruption

Primary Repair of Traumatic Complete Pancreatic Rupture

2021 ◽  
pp. 000313482110385
Author(s):  
Maria Venianaki ◽  
Despoina Ierodiakonou ◽  
Evangelia Chryssou ◽  
Emmanuel Chrysos ◽  
Georgios Chalkiadakis ◽  
...  
Keyword(s):  
Pancreatic Duct ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Primary Repair ◽  
Pancreatic Injury ◽  
Tissue Loss ◽  
Omental Patch ◽  
Pancreatic Injuries ◽  
Isolated Pancreatic Injury ◽  
High Level

Isolated pancreatic injury with transection of the pancreatic duct is generally treated with pancreatic resection, but the optimal management is not based on high-level evidence. Herein, we report a case of primary repair of complete rupture of the pancreas and pancreatic duct after a blunt abdominal trauma and a review of the literature. A 33-year-old patient had an isolated pancreatic injury after blunt abdominal trauma. At laparotomy, an even transection was found with minimal necrosis and tissue loss and an end-to-end anastomosis of the duct and the parenchyma with omental patch was performed. Patient’s postoperative course was complicated by a 6 cm pseudocyst and a low output pancreatic fistula which did not require any intervention and were self-limited. In the literature, 17 cases with primary repair of similar grade IV pancreatic injuries have been reported. Postoperative complications included mostly fistulas and pseudocysts.

Management of isolated pancreatic injury

2011 ◽  
Vol 83 (6) ◽  
pp. 352-355
Author(s):  
V. Psychogiou ◽  
D. Dellaportas ◽  
A. Yiallourou ◽  
T. Theodosopoulos ◽  
D. Voros
Keyword(s):  
Pancreatic Injury ◽  
Isolated Pancreatic Injury

scholarly journals Conservative Management of Isolated Proximal Traumatic Pancreatic Injury: A Case Report

2021 ◽  
Vol 3 (2) ◽  
pp. 12-15
Author(s):  
Masoud Alsaifi ◽  
Badriya Alaraimi ◽  
Ahmed Alkindy
Keyword(s):  
Conservative Management ◽  
Motor Vehicle ◽  
Pancreatic Head ◽  
Pancreatic Injury ◽  
Total Leukocyte Count ◽  
Vehicle Collision ◽  
Grade 5 ◽  
Pancreatic Injuries ◽  
Isolated Pancreatic Injury ◽  
Upper Abdominal

Background: Blunt traumatic pancreatic injuries are rare conditions in case of motor vehicle collision (MVC) and isolated injuries even rarer. Surgical approach is usually preferred in case of advanced pancreatic injuries. In this study we try to shed the light on the role of completely conservative approach in the management of a proximal pancreatic injury.  Case Summary: A 19-year-old male patient presented to the ER three days following MVC with upper abdominal pain. Abdominal US showed free intraperitoneal fluids and laboratory results showed elevated total leukocyte count, serum amylase and lipase. CT showed transection at pancreatic head which was grade 5 with free intrabdominal fluids; hence isolated pancreatic injury was diagnosed. At that point, the patient was hemodynamically stable and conservative management was implemented. He was admitted in the ICU for three days followed by 28 days in the ward where patient condition was closely monitored on daily bases.  Serial interval imaging showed spontaneous resolution of the intraperitoneal collection together with improvement of the injury, respectively. After completing his course, the patient was discharged and monitored as an outpatient. Conclusion: Conservative treatment can be adopted in patients with proximal pancreatic injuries with complete duct disruption in otherwise hemodynamically stable patients.

scholarly journals A Case of Gastric Rupture and Type IIIa Pancreatic Injury due to Abdominal Blunt Trauma

2003 ◽  
Vol 36 (6) ◽  
pp. 488-492
Author(s):  
Kou Shiraishi ◽  
Shunji Mori ◽  
Kiyoshi Isobe ◽  
Takamori Nakayama
Keyword(s):  
Blunt Trauma ◽  
Pancreatic Injury ◽  
Type Iiia ◽  
Gastric Rupture ◽  
Abdominal Blunt Trauma
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