Kawasaki C
Department of Surgery, Moriyama City Hospital, Japan.
Nihon Geka Hokan. 2000 Apr 1;68(3-4):144-9.
A case 67-year old male was admitted with abdominal blunt injury from a traffic accident. An abdominal CT revealed a retroperitoneal hematoma behind the pancreas head, so we began a conservative therapy of continuous drip while fasting. The patient vomited frequently on the 6th day after injury. Upper gastroduodenography visualized a narrowing of the descending part of the duodenum. The conservative therapy was continued with nasogastric drainage and intravenous fluid. Obstructive symptoms disappeared 14 days after the beginning of the therapy. It is a rare case that can be considered a candidate for 2 weeks of conservative therapy, with no additional damage or peritonitis.
一名67岁男性因交通事故腹部钝性损伤入院。腹部CT显示胰头后方有腹膜后血肿，因此我们开始了禁食状态下的持续静脉滴注保守治疗。患者在受伤后第6天频繁呕吐。上消化道十二指肠造影显示十二指肠降部狭窄。继续采用鼻胃管引流和静脉补液的保守治疗。治疗开始14天后梗阻症状消失。这是一例罕见病例，可考虑进行2周的保守治疗，且无额外损伤或腹膜炎。
