A case of traumatic pancreaticoduodenal injury: A simple and an organ-preserving approach as damage control surgery

Sae Byeol Choi, Jiyoung You, Sang Yong Choi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Context Traumatic pancreaticoduodenal injury still remains challenging with high morbidity and mortality. Optimal management by performing simple and fast damage control surgery ensures better outcomes. Case report A 36-year-old man was admitted with a combined pancreaticoduodenal injury after being assaulted. More than 80% of duodenal circumference (first portion) was disrupted and the neck of the pancreas was transected. Primary repair of the duodenum and pancreaticogastrostomy were performed. The stump of the proximal pancreatic duct was also sutured. The patient developed an intra-abdominal abscess with pancreatic fistula that eventually recovered by conservative treatment. Conclusion Pancreaticogastrostomy can be a treatment option for pancreatic transection. Rapid and simple damage control surgery with functional preservation of the organ will be beneficial for trauma patients.

Original languageEnglish
Pages (from-to)76-79
Number of pages4
JournalJournal of the Pancreas
Volume13
Issue number1
Publication statusPublished - 2012 Jan

Keywords

  • Duodenum
  • Pancreas
  • Wounds and Injuries

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Hepatology
  • Endocrinology

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