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Isolated Pancreatic Injury Diagnosed Seven Months After Thoracoabdominal Trauma

https://doi.org/10.23934/2223-9022-2021-10-2-413-416

Abstract

We present a case of a closed thoracoabdominal trauma with pancreatic rupture. Closed abdominal trauma is one of the main causes for urgent hospitalization and emergency surgery. Injury of pancreatic ductal system is noted for the most severe course because of complications caused by outflow of the pancreatic juice into the retroperitoneal fat and the free abdominal cavity. One of the main factors affecting the efficacy of treatment is the time gap between a traumatic incident and hospitalization with subsequent surgical treatment. We report the results of management of a 53-year-old patient with closed thoracoabdominal injury and incomplete rupture of the pancreas, diagnosed 6 months after the “steering wheel” trauma. The injury was diagnosed with radiation techniques. Surgery included laparotomy, corporocaudal resection of the pancreas with splenectomy. The incidence of pancreatic traumatic injuries and the results of treatment are the matters for discussion. 

About the Authors

E. O. Inozemtsev
Irkutsk State Medical University; Irkutsk Regional Clinical Hospital
Russian Federation

Candidate of Medical Sciences, assistance lecturer of the Department of Hospital Surgery, 

1, Krasnogo Vosstaniya Street, Irkutsk 664003;

100, Yubileyniy District, Irkutsk 664049

 



E. G. Grigoryev
Irkutsk State Medical University; Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation

Head of the Department of Hospital Surgery, 1, Krasnogo Vosstaniya Street, Irkutsk 664003;

Doctor of Medical Sciences, Professor, 1, Bortsov Revolyutsii Street, Irkutsk 664003

 



A. I. Panasyuk
Irkutsk State Medical University; Irkutsk Regional Clinical Hospital
Russian Federation

Surgeon, department of emergency surgery,

1, Krasnogo Vosstaniya Street, Irkutsk 664003;

100, Yubileyniy District, Irkutsk 664049



S. A. Kondrat’ev
Irkutsk Regional Clinical Hospital
Russian Federation

Surgeon, department of emergency surgery,

100, Yubileyniy District, Irkutsk 664049



References

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Review

For citations:


Inozemtsev E.O., Grigoryev E.G., Panasyuk A.I., Kondrat’ev S.A. Isolated Pancreatic Injury Diagnosed Seven Months After Thoracoabdominal Trauma. Russian Sklifosovsky Journal "Emergency Medical Care". 2021;10(2):413-416. https://doi.org/10.23934/2223-9022-2021-10-2-413-416

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ISSN 2223-9022 (Print)
ISSN 2541-8017 (Online)