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J Surg Case Rep. 2014 Dec 04;2014(12). doi: 10.1093/jscr/rju129.

Early laparoscopic approach to pancreatic injury following blunt abdominal trauma.

Journal of surgical case reports

Adarsh Vijay, Husham Abdelrahman, Ayman El-Menyar, Hassan Al-Thani

Affiliations

  1. Section of Trauma Surgery, Department of Surgery, Hamad General Hospital, Doha, Qatar.
  2. Section of Trauma Surgery, Department of Surgery, Hamad General Hospital, Doha, Qatar [email protected].
  3. Clinical Medicine, Weill Cornell Medical School, Doha, Qatar Clinical Research, Trauma Surgery, Hamad General Hospital, Doha, Qatar.

PMID: 25477017 PMCID: PMC4255133 DOI: 10.1093/jscr/rju129

Abstract

The incidence of pancreatic injury following blunt abdominal trauma is rare. A timely accurate diagnosis of such injury is difficult and also the management remains controversial. Here, we reported the successful use of laparoscopy to diagnose, characterize and treat blunt pancreatic trauma in a 28-year-old male patient involved in a motor vehicle crash. An abdominal computed tomography scan showed peripancreatic fat stranding suggestive of pancreatic injury. With persistent clinical signs of peritonitis and laboratory investigations suggestive of pancreatitis, the patient underwent laparoscopic drainage of the lesser sac. The patient had an uneventful postoperative course. The management of patients with blunt pancreatic injuries should be tailored to individual situations. Our experience suggests that a timely laparoscopic management of traumatic pancreatic injury is safe approach in selected cases.

Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2014.

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