Ferreira Maria João, Gallardo Gabriel, Vigia Emanuel, Filipe Edite, Marques Hugo Pinto
Cirurgia Geral, Centro Hospitalar Tondela Viseu, 3504-509 Viseu, Portugal.
HPB unit, Hospital Curry Cabral, Centro Hospitalar Lisboa Central, 2770-049 Lisboa, Portugal.
J Surg Case Rep. 2023 Oct 17;2023(10):rjad573. doi: 10.1093/jscr/rjad573. eCollection 2023 Oct.
Because of their vague and subtle indications and symptoms, pancreatic injuries are frequently misdiagnosed. It's crucial to have a high level of clinical suspicion. The presence of other organ solid lesions and vascular injuries, as well as the patient's hemodynamic condition, will determine how these injuries are treated. A surgical approach is mandatory when a ductal disruption occurs. The case of a 32-year-old man who experienced an upper abdominal blunt trauma is presented. He was admitted to our hospital with an acute abdomen 48 hours later. A complete transection of the major pancreatic duct was discovered during surgical investigation, and a distal pancreatectomy with en bloc splenectomy was performed. Even in a delayed context, distal pancreatectomy can be safely performed and is the best option.
由于胰腺损伤的体征和症状模糊且不明显,其常常被误诊。保持高度的临床怀疑至关重要。其他器官实体损伤和血管损伤的存在以及患者的血流动力学状况,将决定这些损伤的治疗方式。当发生导管断裂时,手术治疗是必要的。本文介绍了一名32岁男性上腹部钝性创伤的病例。48小时后,他因急腹症入住我院。手术探查发现主胰管完全横断,遂行胰体尾切除术并整块切除脾脏。即使在延迟情况下,胰体尾切除术也可安全进行,且是最佳选择。