Rotura pancreática aislada diagnosticada por TC en un traumatismo cerrado

Oteiza, Fabiola; Liaño, Álvaro Díaz de; Ciga, M. A.; Ortiz, Héctor

doi:10.1016/s0009-739x(03)72244-1

Cited by 2 publications

(11 citation statements)

References 10 publications

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“…Travers, was the first who described a rupture of the pancreas ought to an abdominal blunt trauma [1]. It is necessary for a high velocity impact to occur, and the mechanism appears to be related to the compression of the organ to the vertebral column during the impact [2][3][4].…”

Section: Discussionmentioning

confidence: 99%

“…Pancreatic trauma shows up in the 1-5% of the abdominal blunt trauma (developed as an IPT in less of 1%), this prevalence turns higher (12%) in the penetrating abdominal trauma. Morbidity and mortality are high in the pancreatic trauma (30-60% and 10-30% respectively) [1][2][3][4][5][6].…”

Section: Discussionmentioning

confidence: 99%

“…Approximately the 65% of pancreatic lesions occurs in the neck and body the remaining ones, take place at the head and tail [3]. Around the 90% of the patients with pancreatic trauma shows up concomitant small bowel lesions, and because of the anatomic proximity and irrigation sharing, duodenal lesions are the most common, as well as vascular structures [1,3,5,7]. Exist a 5-grade classification (AAST) of the pancreatic trauma describing the presence of hematoma, laceration, site of lesion and the integrity of the pancreatic duct and its complications [8].…”

Section: Isolated Distal Pancreatic Transection Secondary To An Abdommentioning

confidence: 99%

“…The diagnosis of the pancreatic trauma, specially IPT, used to be difficult: non-specific symptoms due to retroperitoneal location of the pancreas, elevations in serum amylase and lipase are not reliable to determine pancreatic injuries, radiological tests lacks of specificity [2,5,9,10], that is why sometimes diagnosis occurs as an incidental finding at the time of a laparotomy, ought to repair other associated lesions [1][2][3]. There is a great increment of the morbid-mortality when the delay is more than 24 hours, appearing in almost one-third of the cases complications as: 1) Pseudocysts, 2) Abscesses, 3) Hemorrhage, 4) Fistulae or 5) Sepsis and multi system organ failure [1,3].…”

Section: Isolated Distal Pancreatic Transection Secondary To An Abdommentioning

confidence: 99%

“…Elevations in serum amylase and lipase are not reliable to determine pancreatic injuries, but may serve as an indicator of the probable pancreatic injury [1,2,7]. Elevated levels of amylase occurs around the 66-90% of the pancreatic trauma secondary to a blunt abdominal trauma, but could be normal at the early stage.…”

Section: Isolated Distal Pancreatic Transection Secondary To An Abdommentioning

confidence: 99%

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Isolated Distal Pancreatic Transection Secondary to an Abdominal Blunt Trauma - A Case Report

Jm¹

2016

Arch Clin Gastroenterol

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Isolated pancreatic trauma (IPT) secondary to an abdominal blunt trauma, is an uncommon condition-IPT diagnosis usually is insidious, requiring the integration of multiple parameters, regarding anamnesis, physical examination, blood analysis and radiologic tests. Nowadays, exists controversy in the literature about management of the IPT. We report a case of a young male with a body-tail pancreatic transection, secondary to an abdominal blunt trauma. Distal pancreatectomy with spleen preservation was performed with successful postoperative course. We discuss diagnostic and therapeutical options in IPT.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Isolated Distal Pancreatic Transection Secondary To An Abdommentioning

confidence: 99%

Section: Isolated Distal Pancreatic Transection Secondary To An Abdommentioning

confidence: 99%

Section: Isolated Distal Pancreatic Transection Secondary To An Abdommentioning

confidence: 99%

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Isolated Distal Pancreatic Transection Secondary to an Abdominal Blunt Trauma - A Case Report

Jm¹

2016

Arch Clin Gastroenterol

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Isolated Pancreatic Transection Secondary to Abdominal Blunt Trauma - A Case Report

Patel¹,

Chauhan²,

Savsaviya³

et al. 2019

jemds

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An 8-year-old boy presented to the Emergency Department after trauma by a bicycle hand, with injury over inferior thoracic and epigastric region. GCS: 15/15. HR: 140/min. SPO2: 98%. Past medical history was not significant. Clinically, his abdomen was soft with tenderness over the left hypochondrium and tenderness with a patterned bruise of approximately 3*1 cms over the epigastrium. There were no features of peritonitis. Laboratory tests reported raised leucocytic count of 14,400 per dL and raised levels of serum amylase (1478 U/L). A contrast enhanced computed tomographic study of abdomen and pelvis suggested a large peripheral enhancing collection measuring approximately 37 (AP)*45 (TRANS)*55 (SI) mm replacing the entire thickness of neck of pancreas and extending into the peripancreatic fat over anterior aspect of head, neck, uncinate process and proximal body of pancreas, with eccentric non-enhancing hypodense area within representing blood clots. Final impression was that of a full thickness pancreatic laceration in neck with MPD injury-Grade III. Isolated pancreatic injury following blunt trauma to the abdomen, is not a common condition. Diagnosis can often be tricky, and it requires multiple investigations including blood reports, physical examination and radiological tests. The following report is a case of an 8-year-old male child who presented with a complete transection of the pancreas, following blunt abdominal trauma. Peptic perforation.  Intestinal perforation (small or large bowel).  Liver or splenic Injury.  Pancreatitis.  Rupture of pseudo-pancreatic cyst.  Rupture of liver abscess (subcapsular or intraperitoneal).  Gastritis with ulceration.

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Rotura pancreática aislada diagnosticada por TC en un traumatismo cerrado

Cited by 2 publications

References 10 publications

Isolated Distal Pancreatic Transection Secondary to an Abdominal Blunt Trauma - A Case Report

Isolated Distal Pancreatic Transection Secondary to an Abdominal Blunt Trauma - A Case Report

Isolated Pancreatic Transection Secondary to Abdominal Blunt Trauma - A Case Report

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