Pancreaticoduodenectomy With Left Lateral Hepatic Segmentectomy : A Rare Procedure For The Management Of Complex Pancreaticoduodenal And Liver Injuries In Blunt Abdominal Trauma
Pancreaticoduodenectomy With Left Lateral Hepatic Segmentectomy
Keywords:
Pancreaticoduodenal injury, segment II and III resectionAbstract
Context : Pancreaticoduodenal complex injuries are uncommon after blunt abdominal trauma and are difficult to diagnose. Case Report : We report a case of 25 years old male who suffered massive Pancreaticoduodenal complex with liver injuries due to blunt abdominal trauma. At exploration we found that 2nd part of duodenum and head of pancreas were completely shattered and segment II & III of liver were lacerated. We performed Pylorus preserving Pancreaticoduodenectomy with segment II and III resection. Conclusion : Pancreaticoduodenal injuries should be suspected in every patient with trauma to upper abdomen. Exploration should be done at the earliest. [Atul Vats et al.
References
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2. Jansen M, Du Tuit DF, Warren BL (2002). Duodenal injuries : Surgical management adapted to circumstances. Injury 33 : 611-615.
3. Olah A, Issekutz A, Manlik L, Makay R. Pancreatic transection from blunt abdominal trauma : early versus delayed diagnosis and surgical management. Dig Surg 2003; 20 : 408-14
4. Lopez PP, Benzamin R, Cockburn M, Amortegni JD, Schulman CI, Saffer D, et al. Recent trands in the management of combined pancreaticodudenal injuries. Am Surg 2005; 71 : 847-852
5. Feliciano DV, Martin TD, Cruse PA, Graham JM, Burch JM, Mattox KL, et al. Management of combined pancreaticodudenal injuries. Ann Surg 1987; 205 : 673-80
6. DeKerpel W, Hendrickx T, Vanrykel JP, Aclvoete C, Deweer F. Whipples procedure after blunt abdominal trauma. J Trauma 2002; 53 : 780-3
7. Lin BC, Chen RJ, Fang JF, et al. Management of blunt major pancreatic injury. J Trauma 2004; 56 : 774-8.
8. Degiannis E. Glapa M, Loukogeorgakis SP, Smith MD. Management of pancreatic trauma. Injury 2008; 39 : 21-9.
9. Strong RW, Lynch SV, Wall DR, et al. Anatomic resection for severe liver trauma. Surgery. 1998; 123 : 251-257.
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Published
2011-09-30
How to Cite
Rathi, D., Saxena, D., Sharma, D., Singh, D., & Vats, D. (2011). Pancreaticoduodenectomy With Left Lateral Hepatic Segmentectomy : A Rare Procedure For The Management Of Complex Pancreaticoduodenal And Liver Injuries In Blunt Abdominal Trauma: Pancreaticoduodenectomy With Left Lateral Hepatic Segmentectomy. National Journal of Integrated Research in Medicine, 2(3), 96–98. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/182
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Section
Case Report
