Ankouz Amal, Elbouhadouti Hicham, Lamrani Jihane, Taleb Khalid Ait, Louchi Abdelatif
Department of General Surgery, UH Hassan II of Fez, Morocco.
J Emerg Trauma Shock. 2010 Jan;3(1):76-8. doi: 10.4103/0974-2700.58657.
Blunt fractures of the pancreas are rare and serious lesions. An isolated injury to the pancreas is uncommon. Physical signs and laboratory parameters are often inaccurate, and missing the diagnosis can cause serious clinical problems. We report a case of a 28-year-old woman with blunt pancreatic trauma in whom computed tomography revealed a fracture through the tail of the pancreas. It was complicated by pseudocyst formation. She was treated surgically with good outcome. This case is a reminder that pancreatic injuries should be considered in the differential diagnosis in cases of blunt abdominal trauma. Also, the clinician should be aware that when pancreatic injuries are managed conservatively, the clinical, radiological, and laboratory parameters need to be monitored till resolution.
胰腺钝性骨折是罕见且严重的损伤。单纯胰腺损伤并不常见。体格检查体征和实验室指标常常不准确,漏诊会导致严重的临床问题。我们报告一例28岁女性胰腺钝性创伤病例,计算机断层扫描显示胰腺尾部骨折,并伴有假性囊肿形成。她接受了手术治疗,效果良好。该病例提醒我们,在钝性腹部创伤病例的鉴别诊断中应考虑胰腺损伤。此外,临床医生应意识到,当对胰腺损伤进行保守治疗时,需要监测临床、影像学和实验室指标直至病情缓解。