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因“轻微”钝性腹部损伤继发孤立性完全性胰腺断裂行延迟性胰体尾切除术:病例报告及文献复习

Delayed distal pancreatectomy for isolated complete pancreatic disruption secondary to "trivial" blunt abdominal injury: A case report and literature review.

作者信息

Tamrat Girmaye, Kejela Segni

机构信息

Department of Surgery College of Health Sciences Addis Ababa University Addis Ababa Ethiopia.

出版信息

Clin Case Rep. 2022 Sep 6;10(9):e6295. doi: 10.1002/ccr3.6295. eCollection 2022 Sep.

Abstract

Pancreatic injury is a formidable diagnostic and therapeutic challenge owing to its relative rarity. Most injuries are from motor vehicle related injuries in blunt trauma patients. We present a 22-year-old male patient presented after sustaining a kick to the abdomen. He developed progressive abdominal pain with vomiting with delayed generalization of the pain and involuntary guarding. On initial exploratory laparotomy, suction drainage was inserted, and patient underwent delayed spleen sparing distal pancreatectomy on the 25th post-admission day. Patient had smooth postoperative course and was discharged on the 7th postoperative day.

摘要

由于胰腺损伤相对罕见,因此在诊断和治疗方面是一项艰巨的挑战。大多数损伤发生于钝性创伤患者的机动车相关损伤。我们报告一名22岁男性患者,其腹部被踢后前来就诊。他出现进行性腹痛伴呕吐,疼痛延迟扩散并伴有不自主的肌紧张。在初次探查性剖腹手术中,插入了吸引引流管,患者在入院后第25天接受了保留脾脏的远端胰腺切除术。患者术后恢复顺利,术后第7天出院。

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