Pancreas preservation in complete traumatic transection of pancreas

Abstract

trauma, an isolated pancreatic injury is
uncommon. Physical signs and laboratory
parameters are often inaccurate,
and missing this diagnosis can cause serious
clinical problems.CASE OUTLINESFour
patients were reported who
sustained blunt abdominal trauma with
isolated pancreatic injury. All patients
had fracture of pancreas, grade III pancreatic
injuries was diagnosed. Pancreatic
tissue was conserved by performing
a p a n c r e a t i c o j e j u -
nostomy.DISCUSSIONAfter any episode
of blunt abdominal trauma, isolated injury
to the pancreatic duct should be considered.
Abdominal CT scanning can be
helpful in early diagnosis. Preservation of
pancreatic tissue can be achieved with a
good clinical outcome.
Introduction
The incidence of pancreatic trauma is 2-
4% in blunt abdominal trauma 1. It most
commonly occurs in
road traffic accidents where the mechanism
of injury is trauma to the epigastrium
by the steering wheel, causing
compression of the organ against the
vertebral column. Usually pancreatic injury
is associated with other abdominal injuries.
Here we describe the management of
grade III pancreatic injury (distal transection).
The management options for grade III
injury is distal pancreatectomy or pancreaticojejunostomy
2. We consider the organ
preserving approach is ideal when the
distal pancreatic segment is viable and the
patient is stable. We report a series of 4
cases of grade III injury, in which we successfully
preserve the pancreas in all
cases