儿童钝性胰管损伤
Blunt pancreatic duct injury in children.
作者信息
Yamamoto Hirotaka, Ochi Takanori, Miyazaki Eiji, Machida Hiromichi, Tobayama Shigeo, Suzuki Kazufumi
机构信息
Department of Surgery Seirei Hamamatsu General Hospital 2-12-12 Sumiyoshi Naka-ku Hamamatsu Shizuoka 430-8558 Japan.
Present address: Department of Pediatric General and Urogenital SurgeryJuntendo University School of Medicine 2-1-1 Hongo Bunkyo-ku Tokyo 113-8421 Japan.
出版信息
Acute Med Surg. 2015 Nov 12;3(2):204-206. doi: 10.1002/ams2.171. eCollection 2016 Apr.
CASE
A 10-year-old boy sustained a blunt injury to the pancreatic neck with complete transection of the main pancreatic duct. Because endoscopic catheterization across the rupture site was not possible, an endoscopic nasopancreatic drain was inserted through the proximal pancreatic duct into the retroperitoneum. An emergency laparotomy was carried out, during which time the tube was used as a guide for identifying disrupted pancreatic ducts. Damaged tissue was removed, the proximal pancreatic duct was ligated, and a Roux-en-Y distal pancreaticojejunostomy was carried out.
OUTCOME
The patient was discharged 49 days after surgery.
CONCLUSION
Preoperative catheterization of the transected pancreatic duct is an option for detecting a disrupted main pancreatic duct.
病例
一名10岁男孩胰腺颈部受到钝性损伤，主胰管完全横断。由于无法通过破裂部位进行内镜插管，遂经近端胰管插入一根内镜鼻胰引流管至腹膜后。随后进行了急诊剖腹手术，术中该引流管被用作识别断裂胰管的引导。切除受损组织，结扎近端胰管，并进行了Roux-en-Y远端胰管空肠吻合术。
结果
患者术后49天出院。
结论
术前对横断的胰管进行插管是检测主胰管断裂的一种选择。
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