Bagci Sait, Tuzun Ahmet, Erdil Ahmet, Uygun Ahmet, Gulsen Mustafa, Dagalp Kemal
Department of Gastroenterology, Gulhane Military Medical Academy, Etlik, 06018, Ankara, Turkey.
Mil Med. 2007 May;172(5):548-50. doi: 10.7205/milmed.172.5.548.
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.
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。