Reconstruction after pancreatic trauma by pancreaticogastrostomy

International Journal of Surgery Case Reports
Gonzalo Martín MartínFrancesc X González Argenté

Abstract

Pancreatic lesions are very infrequent after closed abdominal trauma (5% of cases) with a complication rate that affects 30-40% of patients, and a mortality rate that can reach 39%. In our experience, closed abdominal traumatisms occurring at typical popular horse-riding festivals in our region constitute a high risk of pancreatic trauma. The purpose of the present paper is to raise awareness about our experience in the diagnosis and treatment of pancreatic lesions secondary to closed abdominal traumatism. We present the clinical cases of two young patients who, after suffering blunt abdominal trauma secondary to the impact of a horse during the celebration of typical horse-riding festival, were diagnosed with pancreatic trauma type III. The treatment was surgical in both cases and consisted in performing a pancreaticogastric anastomosis with preservation of the distal pancreas and spleen. The postoperative period was uneventful and, at present, both patients are asymptomatic. Signs and symptoms caused by pancreatic lesion are unspecific and difficult to objectify. With some limitations CT is the imaging test of choice for diagnosis and staging in the acute phase. The Wirsung section is indication for surgical treatment. The mo...Continue Reading

References

Dec 7, 2007·The Surgical Clinics of North America·Anuradha SubramanianDavid V Feliciano
Jun 8, 2012·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Sally JackoS Rob Todd
May 4, 2013·Journal of the American College of Surgeons·Robert T StovallClay Cothren Burlew
Aug 29, 2013·Pediatric Surgery International·Kosaku MaedaInsu Kawahara

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Citations

Aug 3, 2016·Cirugía española·Patrizio PetroneCorrado P Marini
Sep 16, 2016·Khirurgiia·A N Smolyar, K T Agakhanova

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Methods Mentioned

BETA
imaging technique
pancreatectomy

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