Hirotaka Yamamoto1,2, Hiroaki Watanabe1, Yasuaki Mizushima1, Tetsuya Matsuoka1. 1. Acute Care Surgery Center Senshu Trauma and Critical Care Center, Rinku General Medical Center Izumisano Osaka Japan. 2. Present address: Seirei Hamamatsu General Hospital Department of Surgery 2-12-12 Sumiyoshi, Naka-ku Hamamatsu Shizuoka 430-8558.
Abstract
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.
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.
Authors: Mark J Seamon; Patrick K Kim; S Peter Stawicki; G Paul Dabrowski; Amy J Goldberg; Patrick M Reilly; C William Schwab Journal: Injury Date: 2008-12-02 Impact factor: 2.586