Severe pancreatoduodenal injury | Zendy

Yamamoto Hirotaka | Zendy; Watanabe Hiroaki | Zendy; Mizushima Yasuaki | Zendy; Matsuoka Tetsuya | Zendy

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Severe 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.

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