Intraoperative ultrasonography is useful for diagnosing pancreatic duct injury and adjacent tissue damage in a patient with penetrating pancreas trauma

Journal of Hepato-biliary-pancreatic Surgery
Shigeki HikidaKazuo Shirouzu

Abstract

We report a case of pancreatic injury, caused by a stab wound, in which ductal injury and wound depth were clearly identified by intraoperative ultrasonography. A 65-year-old woman was emergently admitted to our hospital after stabbing herself in the abdomen in a suicide attempt. Preoperative computed tomography (CT) and laboratory examination revealed liver and pancreatic injury with massive abdominal bleeding and free air. Operative findings included injuries of the stomach, small bowel, colon, liver, and pancreas. The pancreatic lacerations were 1 cm in length, in the body. Intraoperative ultrasonography enabled the diagnosis of a lacerated main pancreatic duct with no damage to the major vessels posterior to the pancreas. Distal pancreatectomy; simple repairs of the liver, small bowel, and stomach; exteriorization of the injured colon; cholecystostomy; gastrostomy; and jejunostomy were performed. The patient recovered and was transferred to a psychiatric hospital 87 days after surgery. In this patient, intraoperative ultrasonography was successfully used to identify the degree of injury to the pancreatic duct, as well as the depth of the stab wound. In conclusion, intraoperative ultrasonography should be routinely performed...Continue Reading

Citations

Feb 1, 2008·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Anuradha Subramanian, David V Feliciano
Dec 7, 2007·The Surgical Clinics of North America·Anuradha SubramanianDavid V Feliciano
Mar 6, 2015·The Journal of Trauma and Acute Care Surgery·Luke J HofmannJeremy W Cannon
Oct 12, 2011·Current Opinion in Critical Care·Mason Fisher, Karen Brasel
Dec 18, 2009·Southern Medical Journal·Nasim Ahmed, Jerome J Vernick

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