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内镜治疗钝性腹部创伤所致胰管破裂:一例报告

Endoscopic treatment of pancreatic duct disruption due to blunt abdominal trauma: a case report.

作者信息

Bagci Sait, Tuzun Ahmet, Erdil Ahmet, Uygun Ahmet, Gulsen Mustafa, Dagalp Kemal

机构信息

Department of Gastroenterology, Gulhane Military Medical Academy, Etlik, 06018, Ankara, Turkey.

出版信息

Mil Med. 2007 May;172(5):548-50. doi: 10.7205/milmed.172.5.548.

Abstract

It is very difficult to determine and treat injury of the main pancreatic duct and its outcomes secondary to blunt abdominal trauma. In this study, we present a 21-year-old male patient with percutaneous pancreatic fistula due to blunt pancreatic damage. We defined the pancreatic duct disruption along with contrast media leakage by means of endoscopic retrograde pancreatography. A pancreatic duct stent placed after a nasopancreatic catheter was left for 10 weeks. Closure of the fistula along with pancreatic duct improvement without any additional morbidity was observed after removal of the stent.

摘要

确定和治疗钝性腹部创伤继发的主胰管损伤及其后果非常困难。在本研究中,我们报告了一名21岁男性患者,因钝性胰腺损伤导致经皮胰瘘。我们通过内镜逆行胰胆管造影术确定了胰管破裂以及造影剂渗漏。在留置鼻胰导管后放置了胰管支架10周。取出支架后,观察到瘘口闭合且胰管情况改善,未出现任何额外的并发症。

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