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Isolated pancreas injury of the 22-years-old man caused by blunt abdominal trauma


Authors: J. Riegl;  J. Smetana;  P. Obruba
Authors‘ workplace: Traumatogické oddělení, Masarykova nemocnice, Ústí nad Labem 1;  Chirurgická klinika IPVZ, Masarykova nemocnice, Ústí nad Labem 2
Published in: Úraz chir. 19., 2011, č.1

Overview

The authors of the article describe isolated laceration of the pancreas body caused by an impact of a blunt object into abdomen of a 22-years-old man. The hemodynamically stabilized patient underwent a surgery after having been examined through ultrasonography, CT and ERCP. Given the finding of isolated laceration in the area of isthmus, minimal resection of pancreas was carried out, proximal part stiched, pancreatojejuno anastomosis of distal part of pancreas performed together with excluded omega loop of the small intestine, then Brown enteroenteroanastomosis perfomed. Postoperatively, a prepancreatic abscess was drained and then the pancreatic fistula created. The patient discharged from hospital and taken into the outpatient care as of 34th day after the surgery. The pancreatic fistula healed up after 3 month, the patient with no subjective difficulties and with a very good functional outcome.

Key words:
pancreas laceration, blunt abdominal trauma, pancreatojejunal anastomosis.


Sources

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Labels
Surgery Traumatology Trauma surgery
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