Closed trauma of the pancreas

Authors

  • Jaime Landell Cruz Hospital General Docente "Dr. Ernesto Guevara de la Serna". Las Tunas.
  • Ibrahim Gómez González Hospital General Docente "Dr. Ernesto Guevara de la Serna". Las Tunas.

Keywords:

PANCREAS, WOUNDS AND INJURIES, PANCREATECTOMY.

Abstract

Closed trauma of the pancreas is a rare condition. The organ is located in a place with a relative protection. It is considered that between 1 and 5 % of serious abdominal traumatisms present a pancreatic lesion, according to different authors. This study describes the case of a 54-year-old male patient who had a closed trauma in the epigastrium by the kick of an ox, and came to the Emergency Department 72 hours after the trauma. On physical examination there was peritoneal reaction at that level. Abdominal echography showed a hematoma at the level of the pancreatic neck. It was decided to perform an exploratory laparotomy which revealed a total section of the pancreas neck to the right of the mesenteric vessels. Subtotal pancreatectomy was performed, together with splenectomy. The patient had a good postoperative progress.

Downloads

Download data is not yet available.

Author Biographies

Jaime Landell Cruz, Hospital General Docente "Dr. Ernesto Guevara de la Serna". Las Tunas.

Especialista de Segundo Grado en Cirugía General. Máster en Urgencias Médicas. Investigador agregado.

Profesor Asistente. Universidad de Ciencias Médicas de Las Tunas.

Ibrahim Gómez González, Hospital General Docente "Dr. Ernesto Guevara de la Serna". Las Tunas.

Especialista de Primer Grado en Anestesiología y Reanimación.

Profesor Asistente. Universidad de Ciencias Médicas de Las Tunas.

References

Gordon R, Anderson S, Ozonoff A, Rekhi S, Soto J. Blunt pancreatic trauma, evaluation with MDCT Technology. Emergency Radiol [revista en internet]. 2013, Agosto [citado 14 de diciembre 2016]; 20(4): 259–266. Disponible en: http://link.springer.com/article/10.1007/s10140-013-1114-z.

Soler Vaillant R. Cirugía del abdomen en lesiones del páncreas. La Habana, Cuba: Editorial Ciencias Médicas; 2010. p. 181–182.

Piriz Momblant A. Páncreas Técnicas Quirúrgicas en Técnicas Quirúrgicas para las lesiones pancreáticas. La Habana, Cuba: Editorial Ciencias Médicas; 2010. p. 139–152.

G Shackelford Z. Traumatismo pancreático. Cirugía del aparato digestivo. 3ra ed: Editorial Médica Panamericana; 1986. p. 141-147.

Lahiri R, Bhattacharya S. Pancreatic trauma. Ann R Coll Surg Engl [revista en internet]. 2013, Mayo [citado 14 de diciembre 2016]; 95(4); 241–245. Disponible en: Mediline Complete.

Navarro Soto S, Turegano Fuentes F. Traumatismo pancreático en Manejo quirúrgico del paciente politraumatizado. 2da Ed: Editorial Panamericana; 2012. p. 121-126.

San Roman E, Neira JA. Traumatismo pancreático en Trauma, Prioridades. Editorial Médica Panamericana; 2002. p. 282-286.

Martinez Dubois S. Cirugía. Bases del conocimiento quirúrgico y apoyo en trauma. 5ta Edición: Mc Graw Hill; 2013. p.301.

O’Reilly DA, Bouamra O, Kausar A, Dickson EJ, Lecky F. The epidemiology of and outcome from pancreatoduodenal trauma in the UK, 1989–2013. The Annals of The Royal College of Surgeons of England [revista en internet]. 2015 [citado 14 de diciembre 2016]; 97(2): 125-130. Disponible en: http://publishing.rcseng.ac.uk/doi/abs/10.1308/003588414X14055925060712.

Levine R, Bank M. Traumatic transaction of the pancreas. A case of delayed presentation. Journal of the pancreas [revista en internet]. 2011 [citado 14 de diciembre 2016]; 12(1): 47–49. Disponible en: http://www.rth.unina.it/index.php/jop/article/view/3384.

Williamson J, Willianson R. Managing pancreatoduodenal trauma. British Journal of Hospital Medicine [revista en internet]. 2012, Jun [citado 14 de diciembre 2016]; 73(6): 335-340. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/22875324.

Dreizin D, Bordegaray M, Tirada N, Raman S, Kadakia K, Munera F. Evaluating blunt pancreas trauma at whole body CT: current practices and futures directions. Emergency Radiology [revista en internet]. 2013 [citado 14 de diciembre 2016]; 20(6): 517–527. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/? term=Evaluating+blunt+pancreas+trauma+at+whole+body+CT+%3A+current+practices+and+futures+directions.

Papalampros A, Fard_Aghaie M, Maghsoudi T, Oldhafer K. Complte rupture of the pancreas after a kick into the abdomen during a football match. BJM. Case report [revista en internet]. 2014 [citado 14 de diciembre 2016]. Disponible en: http://casereports.bmj.com/content/2014/bcr-2014-204141.full.

Memon AA, Zafar H, Raza R, Murtaza G. Traumatic pancreatic injury-an elusive diagnosis: experience from a developing country urban trauma referral centre. The Journal of the Pakistan Medical Association [revista en internet]. 2013 [citado 14 de diciembre 2016]; 63(4): 440-444. Disponible en: https://www. ncbi.nlm.nih.gov/pubmed/23905437.

Downloads

Published

2016-12-09

How to Cite

1.
Landell Cruz J, Gómez González I. Closed trauma of the pancreas. Rev. electron. Zoilo [Internet]. 2016 Dec. 9 [cited 2025 Sep. 17];41(12). Available from: https://revzoilomarinello.sld.cu/index.php/zmv/article/view/976

Issue

Vol. 41 No. 12 (2016): December

Section

Case reports

License

This journal provides free and immediate access to its content under the principle that making research freely available to the public supports a greater exchange of global knowledge. This means that the authors transfer the copyright to the journal, so that copies and distribution of the contents can be made by any means, as long as the authors' acknowledgment is maintained. These terms are a reflection that the journal assumes copyright under Creative Commons licenses, specifically under a Creative Commons Attribution 4.0 International license.

Registration and submission of articles to the journal is free. The processing, including review, editing and publication, is completely free of charge.