Rebecca A Levine1, Matthew A Bank. 1. Department of Surgery, Division of Trauma and Surgery Critical Care, North Shore-Long Island Jewish Health System, Manhasset, New York, USA. rebecca.levine@mssm.edu
Abstract
CONTEXT: Isolated traumatic injuries to the pancreas are extremely unusual and diagnosis may be difficult due to delay in presentation and subtlety of symptoms. CASE REPORT: We describe a patient who presented 24 hours after sustaining blunt abdominal trauma and was found to have a complete pancreatic neck transection on computed tomography with no other injuries. The patient underwent a distal pancreatectomy and splenectomy which was complicated by a postoperative abscess on day 15. This was treated with percutaneous drainage and he has recovered well. CONCLUSION: Pancreatic transection in the absence of associated injuries is rarely seen after blunt trauma but can result in devastating outcomes if left unrecognized. A high index of suspicion and early intervention are critical.
CONTEXT: Isolated traumatic injuries to the pancreas are extremely unusual and diagnosis may be difficult due to delay in presentation and subtlety of symptoms. CASE REPORT: We describe a patient who presented 24 hours after sustaining blunt abdominal trauma and was found to have a complete pancreatic neck transection on computed tomography with no other injuries. The patient underwent a distal pancreatectomy and splenectomy which was complicated by a postoperative abscess on day 15. This was treated with percutaneous drainage and he has recovered well. CONCLUSION:Pancreatic transection in the absence of associated injuries is rarely seen after blunt trauma but can result in devastating outcomes if left unrecognized. A high index of suspicion and early intervention are critical.
Authors: Whalen Clark; Charles N Paidas; David Germain; Claude Guidi; Haim Pinkas; Mark L Kayton Journal: Pediatr Surg Int Date: 2012-12-16 Impact factor: 1.827
Authors: Ke Xiang; Long Cheng; Zhulin Luo; Jiandong Ren; Fuzhou Tian; Lijun Tang; Tao Chen; Ruiwu Dai Journal: PLoS One Date: 2014-12-26 Impact factor: 3.240