AA Medina Velasco, JM Ramia*, V Arteaga Peralta, J Valenzuela and AJ López Marcano
Hepato-Pancreato-Biliary Surgical Unit, Department of Surgery, Hospital Universitario de Guadalajara, Guadalajara, Spain
Received: 18 May, 2016; Accepted: 24 June, 2016; Published: 28 June, 2016
JM Ramia, C/General Moscardó 26, 5-1, Madrid 28020. Spain, Tel: 34- 616292056, E-mail:
Medina Velasco AA, Ramia JM, Peralta VA, Valenzuela J, López Marcano AJ (2016) Isolated Distal Pancreatic Transection Secondary to an Abdominal Blunt Trauma - A Case Report. Arch Clin Gastroenterol 2(1): 053-055. 10.17352/2455-2283.000021
© 2016 Medina Velasco AA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Pancreas; Trauma; Casualty; Review; Surgery
Isolated pancreatic trauma (IPT) secondary to an abdominal blunt trauma, is an uncommon condition- IPT diagnosis usually is insidious, requiring the integration of multiple parameters, regarding anamnesis, physical examination, blood analysis and radiologic tests. Nowadays, exists controversy in the literature about management of the IPT. We report a case of a young male with a body-tail pancreatic transection, secondary to an abdominal blunt trauma. Distal pancreatectomy with spleen preservation was performed with successful postoperative course. We discuss diagnostic and therapeutical options in IPT.
A 21 years old young male presented to the emergency room (ER) after a motorcycle accident. He had no remarkable past medical history. He suffered a thoracic inferior and abdominal blunt trauma with the handle. Glasgow coma scale: 15 points, HR: 78 B.P.S., Arterial Pressure: 110/70 mmHg, SpO2: 98%. At the examination, his abdomen was soft with pain in left hypochondrium and left lumbar region, with a haematoma in the left lumbar region. No signs of peritonism were present. Laboratory studies were significant for leukocytes 22,600 μL-1 and elevated amylase of 216 U/L. Computed tomography (CT) of abdomen and pelvis demonstrated the complete transection of the body of the pancreas with peripancreatic fluid of 6 x 5.5 cm, leading extension to all the bursa omentalis, perisplenic and left perirenal región, towards to left psoas major muscle (Figure 1).
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