Delayed presentation of isolated grade III pancreatic injury—a case report

Author:

Ferreira Maria João1,Gallardo Gabriel2,Vigia Emanuel2,Filipe Edite2,Marques Hugo Pinto2

Affiliation:

1. Cirurgia Geral, Centro Hospitalar Tondela Viseu , 3504-509 Viseu, Portugal

2. HPB unit, Hospital Curry Cabral, Centro Hospitalar Lisboa Central , 2770-049 Lisboa, Portugal

Abstract

Abstract Because of their vague and subtle indications and symptoms, pancreatic injuries are frequently misdiagnosed. It’s crucial to have a high level of clinical suspicion. The presence of other organ solid lesions and vascular injuries, as well as the patient’s hemodynamic condition, will determine how these injuries are treated. A surgical approach is mandatory when a ductal disruption occurs. The case of a 32-year-old man who experienced an upper abdominal blunt trauma is presented. He was admitted to our hospital with an acute abdomen 48 hours later. A complete transection of the major pancreatic duct was discovered during surgical investigation, and a distal pancreatectomy with en bloc splenectomy was performed. Even in a delayed context, distal pancreatectomy can be safely performed and is the best option.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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4. Conservative and surgical management of pancreatic trauma in adult patients;Menahem;HepatoBiliary Surg Nutr,2016

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