Open AccessSevere pancreatoduodenal injury
Author(s) -
Yamamoto Hirotaka,
Watanabe Hiroaki,
Mizushima Yasuaki,
Matsuoka Tetsuya
Publication year - 2016
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.143
Subject(s) - pancreaticoduodenectomy , medicine , surgery , damage control , stage (stratigraphy) , shock (circulatory) , damage control surgery , computed tomography , duodenum , general surgery , radiology , resuscitation , resection , paleontology , biology
Case A 30‐year‐old male involved in a traffic accident was brought to our hospital. He was in shock with a rigid abdomen, and a computed tomography scan showed severe pancreatoduodenal injury. He was successfully treated with damage control surgery consisting of peripancreatic packing at the initial surgery followed by a two‐stage pancreaticoduodenectomy. Outcome The postoperative course was complicated by a hepatic abscess, but there were no pancreaticoduodenectomy‐related complications. The patient was transferred to a local hospital on postoperative day 55. Conclusion Three step strategy consisting of peripancreatic packing followed by a two‐stage pancreaticoduodenectomy is an effective treatment strategy for severe pancreatoduodenal injury.