Severe pancreatoduodenal injury.

Yamamoto, Hirotaka; Watanabe, Hiroaki; Mizushima, Yasuaki; Matsuoka, Tetsuya

Yamamoto, Hirotaka; Watanabe, Hiroaki; Mizushima, Yasuaki; Matsuoka, Tetsuya.

Afiliación

Yamamoto H; Acute Care Surgery Center Senshu Trauma and Critical Care Center, Rinku General Medical Center Izumisano Osaka Japan.
Watanabe H; Present address: Seirei Hamamatsu General Hospital Department of Surgery 2-12-12 Sumiyoshi, Naka-ku Hamamatsu Shizuoka 430-8558.
Mizushima Y; Acute Care Surgery Center Senshu Trauma and Critical Care Center, Rinku General Medical Center Izumisano Osaka Japan.
Matsuoka T; Acute Care Surgery Center Senshu Trauma and Critical Care Center, Rinku General Medical Center Izumisano Osaka Japan.

Acute Med Surg ; 3(2): 163-166, 2016 04.

Article en En | MEDLINE | ID: mdl-29123773

RESUMEN

Case: A 30-year-old male involved in a traffic accident was brought to our hospital. He was in shock with a rigid abdomen, and a computed tomography scan showed severe pancreatoduodenal injury. He was successfully treated with damage control surgery consisting of peripancreatic packing at the initial surgery followed by a two-stage pancreaticoduodenectomy. Outcome: The postoperative course was complicated by a hepatic abscess, but there were no pancreaticoduodenectomy-related complications. The patient was transferred to a local hospital on postoperative day 55. Conclusion: Three step strategy consisting of peripancreatic packing followed by a two-stage pancreaticoduodenectomy is an effective treatment strategy for severe pancreatoduodenal injury.

Palabras clave

Abdominal injuries; balloon occlusion; liver abscess; pancreaticoduodenectomy; vacuum packing closure

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Acute Med Surg Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos

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