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Delayed Presentation of Isolated Complete Pancreatic Transection as a Result of Sport-Related Blunt Trauma to the Abdomen
INTRODUCTION: Blunt abdominal trauma is a rare but well-recognized cause of pancreatic transection. A delayed presentation of pancreatic fracture following sport-related blunt trauma with the coexisting diagnostic pitfalls is presented. CASE REPORT: A 17-year-old rugby player was referred to our spe...
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Formato: | Texto |
Lenguaje: | English |
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S. Karger AG
2008
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3075161/ https://www.ncbi.nlm.nih.gov/pubmed/21490833 http://dx.doi.org/10.1159/000112919 |
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author | Healey, Andrew J. Dimarakis, Iannis Pai, Madhava Jiao, Long R. |
author_facet | Healey, Andrew J. Dimarakis, Iannis Pai, Madhava Jiao, Long R. |
author_sort | Healey, Andrew J. |
collection | PubMed |
description | INTRODUCTION: Blunt abdominal trauma is a rare but well-recognized cause of pancreatic transection. A delayed presentation of pancreatic fracture following sport-related blunt trauma with the coexisting diagnostic pitfalls is presented. CASE REPORT: A 17-year-old rugby player was referred to our specialist unit after having been diagnosed with traumatic pancreatic transection, having presented 24 h after a sporting injury. Despite haemodynamic stability, at laparotomy he was found to have a diffuse mesenteric hematoma involving the large and small bowel mesentery, extending down to the sigmoid colon from the splenic flexure, and a large retroperitoneal hematoma arising from the pancreas. The pancreas was completely severed with the superior border of the distal segment remaining attached to the splenic vein that was intact. A distal pancreatectomy with spleen preservation and evacuation of the retroperitoneal hematoma was performed. DISCUSSION/CONCLUSION: Blunt pancreatic trauma is a serious condition. Diagnosis and treatment may often be delayed, which in turn may drastically increase morbidity and mortality. Diagnostic difficulties apply to both paraclinical and radiological diagnostic methods. A high index of suspicion should be maintained in such cases, with a multi-modality diagnostic approach and prompt surgical intervention as required. |
format | Text |
id | pubmed-3075161 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | S. Karger AG |
record_format | MEDLINE/PubMed |
spelling | pubmed-30751612011-04-13 Delayed Presentation of Isolated Complete Pancreatic Transection as a Result of Sport-Related Blunt Trauma to the Abdomen Healey, Andrew J. Dimarakis, Iannis Pai, Madhava Jiao, Long R. Case Rep Gastroenterol Published: January 2008 INTRODUCTION: Blunt abdominal trauma is a rare but well-recognized cause of pancreatic transection. A delayed presentation of pancreatic fracture following sport-related blunt trauma with the coexisting diagnostic pitfalls is presented. CASE REPORT: A 17-year-old rugby player was referred to our specialist unit after having been diagnosed with traumatic pancreatic transection, having presented 24 h after a sporting injury. Despite haemodynamic stability, at laparotomy he was found to have a diffuse mesenteric hematoma involving the large and small bowel mesentery, extending down to the sigmoid colon from the splenic flexure, and a large retroperitoneal hematoma arising from the pancreas. The pancreas was completely severed with the superior border of the distal segment remaining attached to the splenic vein that was intact. A distal pancreatectomy with spleen preservation and evacuation of the retroperitoneal hematoma was performed. DISCUSSION/CONCLUSION: Blunt pancreatic trauma is a serious condition. Diagnosis and treatment may often be delayed, which in turn may drastically increase morbidity and mortality. Diagnostic difficulties apply to both paraclinical and radiological diagnostic methods. A high index of suspicion should be maintained in such cases, with a multi-modality diagnostic approach and prompt surgical intervention as required. S. Karger AG 2008-01-29 /pmc/articles/PMC3075161/ /pubmed/21490833 http://dx.doi.org/10.1159/000112919 Text en Copyright © 2008 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions. |
spellingShingle | Published: January 2008 Healey, Andrew J. Dimarakis, Iannis Pai, Madhava Jiao, Long R. Delayed Presentation of Isolated Complete Pancreatic Transection as a Result of Sport-Related Blunt Trauma to the Abdomen |
title | Delayed Presentation of Isolated Complete Pancreatic Transection as a Result of Sport-Related Blunt Trauma to the Abdomen |
title_full | Delayed Presentation of Isolated Complete Pancreatic Transection as a Result of Sport-Related Blunt Trauma to the Abdomen |
title_fullStr | Delayed Presentation of Isolated Complete Pancreatic Transection as a Result of Sport-Related Blunt Trauma to the Abdomen |
title_full_unstemmed | Delayed Presentation of Isolated Complete Pancreatic Transection as a Result of Sport-Related Blunt Trauma to the Abdomen |
title_short | Delayed Presentation of Isolated Complete Pancreatic Transection as a Result of Sport-Related Blunt Trauma to the Abdomen |
title_sort | delayed presentation of isolated complete pancreatic transection as a result of sport-related blunt trauma to the abdomen |
topic | Published: January 2008 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3075161/ https://www.ncbi.nlm.nih.gov/pubmed/21490833 http://dx.doi.org/10.1159/000112919 |
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