Home Bratislava Medical Journal 2013 Bratislava Medical Journal Vol.114, No.9, p.519-522, 2013

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

Impact factor 1.564

 

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Bratislava Medical Journal Vol.114, No.9, p.519-522, 2013

Title: Blunt trauma – related isolated pancreatic injury
Author: A. Onder, M. Kapan, G. Tekbas, Z. Arikanoglu, I. Aliosmanoglu, F. Taskesen, S. Girgin
Abstract: Background: Pancreatic injuries arising from blunt trauma are rarely seen. Diagnosis and treatment are difficult because of retroperitoneal localization of the organ. We present four pancreatic cases with isolated pancreatic injury due to blunt abdominal trauma.
Methods: This retrospective study included four pancreatic patients who were operated on due to isolated injury caused by blunt abdominal trauma at our department between January 2004 and October 2010.
Results: The patients consisted of three males and one female. One of them was in stage IV and the rest were in stage III. All underwent pancreaticojejunostomy, distal pancreatectomy, distal pancreatectomy + splenectomy and drainage, respectively. Fistula developed in two of them, and abscess developed in one, while the other one died.
Conclusion: Diagnosis may be delayed since the clinical condition is initially stable. Tomography remains one of the most important diagnostic tools. Common risk factors for morbidity and mortality are the presence of ductal injury and delayed laparotomy (Tab. 1, Fig. 4, Ref. 22).
Keywords: blunt abdominal trauma, isolated pancreatic injury
Year: 2013, Volume: 114, Issue: 9 Page From: 519, Page To: 522
doi:10.4149/BLL_2013_108


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