A Case Report of Pancreatic Transection by Blunt Abdominal Trauma
V. Braşoveanu, I. Bălescu, C. Anghel, I. Barbu, M. Ionescu, N. BacalbaşaClinical case, no. 1, 2014
Posttraumatic pancreatic rupture is associated with highmorbidity and mortality. Various management strategies aredescribed, but due to the relative rarity of this pathology nostandards exist. We reported a 21 years old male with posttraumaticcomplete rupture of the pancreatic isthmus,devascularization lesion of descending duodenum, right renalartery posttraumatic thrombosis and left lobe of the liverlaceration. Laparotomy for hemostasis was initially performedin a different hospital and the patient was then referred to us.Pancreaticoduodenectomy and right nephrectomy wereperformed. Postoperatively the patient had a pancreaticojejunalanastomosis fistula spontaneously resolved at 45 days.Pancreaticoduodenectomy can in selected cases be a solution inpancreatic trauma.
