Management of isolated high grade blunt pancreatic injury; case report on lesser aggressive approach
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Abstract:
Isolated high grade pancreatic injury is rare after blunt abdominal trauma. It is a rare entity to appreciate intra-operatively and a high index of suspicion should always be kept in mind to reach the diagnosis. We are presenting our experience of four cases with moderate to high grade isolated pancreatic injury which were managed in a lesser aggressive approach and had an uneventful outcome.Keywords:
Pancreatic injury
Blunt trauma
Pancreatic injury
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Pancreatic injury is uncommon, accounting for less than 7% of penetrating and 5% of blunt abdominal trauma. Blunt isolated pancreatic trauma in football has been rarely described in the literature and its diagnosis, detection and treatment still remains a challenge. We report a case of a young adult with an isolated complete rupture of the pancreatic body due to a blunt abdominal trauma during a football game. In order to preserve the pancreas and therefore retain function, we performed a terminolateral pancreaticojejunostomy. The postoperative course of the patient was uneventful. The diagnosis of isolated injuries of the pancreas in blunt abdominal trauma can be difficult and challenging and due to the nature of the game physicians should be highly alerted when dealing with football players sustaining abdominal trauma.
Pancreatic injury
Blunt trauma
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Blunt trauma
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Ureteric injury is uncommon and mostly follows penetrating trauma or surgical injury. Ureteric rupture following blunt abdominal trauma is rare, there being only a few reported cases. The case described here, in which blunt abdominal trauma resulted in delayed intraperitoneal rupture, appears to be the first report of this type of injury in blunt trauma.
Blunt trauma
Penetrating Trauma
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Pancreatic injury
Blunt trauma
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Objective B ultrasonic examination in the diagnosis of blunt abdominal trauma in the application.Methods Retrospective analysis of our hospital in January 2008 and 2010 were treated in 110 patients with blunt abdominal trauma,B ultrasonic diagnosis and clinical diagnosis of the situation.Results Bultrasond diagnosis of blunt abdominal trauma in the accuracy rate was 90%.Conclusion B-ultrasound diagnosis of rupture of the abdominal organs and the clinical classification of high value.
Abdominal ultrasound
Clinical Diagnosis
Blunt trauma
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With the inventions of faster cars and even more faster motorbikes there is a worldwide increase in road traffic accidents, which has increased the incidence of blunt abdominal trauma but still duodenal injury following a blunt abdominal trauma is uncommon and can pose a formidable challenge to the surgeon and failure to manage it properly can result in devastating results. It may typically occur in isolation or with pancreatic injury. Here, we report a case of an isolated transection of the third part of the duodenum with normal pancreas following a blunt abdominal trauma. The initial clinical changes in isolated duodenal injury may be extremely subtle before life-threatening, peritonitis develops. Hence, a high index of suspicion, on the basis of mechanism of injury and physical examination is the key in early detection of duodenal injury especially in a rural hospital like ours where the facilities for computed tomography scan are not available.
Pancreatic injury
Blunt trauma
Damage Control Surgery
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Pancreatic injury
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The isolated duodenal injury following blunt abdominal trauma is extremely rare.Because, duodenal injury is usually presented with other intra-abdominal organs injuries such as hepatic injury, pancreatic injury due to the anatomical position.So, We report a case of isolated duodenal injury following blunt abdominal trauma, and the discuss about the related article.[
Pancreatic injury
Blunt trauma
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Objective To improve the diagno stic and operational skills in blunt abdominal trauma due to traffic accidents. Methods Eighty nine cases of blunt abdominal trauma in our hos pital for the past 12 years were analyzed,and the data indicated that injuries h append more frequently on abdominal organs,such as spleen,liver and intestines. Results There were 81 survivals and 8 deaths.The mortality was 9%.Conclusion For patients with blunt abdominal trauma,early di agnosis is the key to a success rescue.The application of peritoneoscopy will im prove the diagnostic and therapeutic skills in blunt abdominal trauma.
Blunt trauma
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