十二指肠憩室化术治疗复杂十二指肠胰腺病变：病例报告

Duodenal diverticulization as treatment of complex duodeno-pancreatic lesions: Case report.

作者信息

da Costa Ferreira Caroline Petersen, Lima Natyele Soares, Mortati Maria Carolina Galli, Ribeiro Mauricio Alves, Taha Mohamed Ibrahim Ali, Perlingeiro Jacqueline Arantes Giannini, Assef Jose Cesar

机构信息

Emergency Service of the Irmandade da Santa Casa de Misericórdia de São Paulo (ISCMSP), São Paulo, SP, Brazil.

General Surgical Residency of the Irmandade da Santa Casa de Misericórdia de São Paulo (ISCMSP), São Paulo, SP, Brazil.

出版信息

Int J Surg Case Rep. 2020;66:298-303. doi: 10.1016/j.ijscr.2019.12.014. Epub 2019 Dec 17.

DOI:10.1016/j.ijscr.2019.12.014

PMID:31896071

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6941138/

Abstract

INTRODUCTION

Duodenal and pancreatic lesions are uncommon, but severe and responsible for high incidence in morbidity and mortality. Differences between the mechanisms of trauma, the severity of lesions and the time between trauma, diagnosis and treatment influence the evolution of the case.

PRESENTATION OF CASE

We report a case of a 20-year-old patient with several lesions in stomach, duodenum, pancreas and jejunum due to three gunshots treated at our service. Duodenal diverticulalization was used on treatment of complex duodeno-pancreatic lesions. The patient presented good evolution, with discharge conditions in the 10th PO.

DISCUSSION

We discussed the positives and negatives of this technique, with the approval of the Ethics Committee number 13736519.8.0000.5479.

CONCLUSION

The duodenal diverticulization leads to an irreversible change to the food transit. However, this is a feasible bypass option in cases of high chances of fistula and scar stenosis complex duodenal injury, particularly in the context of associated gastric injury.

摘要