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Trouble in Tiger country: isolated traumatic pancreatic transection – a case report

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submitted on 2024-02-11, 09:02 and posted on 2024-02-11, 09:03 authored by Ahmed Faidh Ramzee, Zeenat Khuda Bakhsh, Hisham Al Jogol, Sandro Rizoli, Ruben Peralta, Ayman El-Menyar, Hassan Al-Thani, Ammar AlMadani

Isolated pancreatic transection is a rare surgical condition that occurs more commonly following blunt abdominal trauma. It carries a high degree of morbidity and mortality, and the management remains a source of debate as universally accepted guidelines are not well established owing to the paucity in clinical experience and large series. We presented a case of an isolated pancreatic transection following blunt abdominal trauma. The surgical management of pancreatic transection has evolved over the decades from aggressive approaches to more conservative measures. Given the lack of large series and clinical experience, no universal consensus exists, except for applying damage control surgery and resuscitation principles in critically unstable patients. For transections of the main pancreatic duct, most recommend excision of the distal pancreas. Concerns over the iatrogenic complications of wide excisions, particularly diabetes mellitus, have led to reconsideration and more conservative approaches, but it may fail in some cases.

Other Information

Published in: Journal of Surgical Case Reports
License: https://creativecommons.org/licenses/by/4.0/
See article on publisher's website: https://dx.doi.org/10.1093/jscr/rjad071

Funding

Open Access funding provided by the Qatar National Library.

History

Language

  • English

Publisher

Oxford University Press

Publication Year

  • 2023

License statement

This Item is licensed under the Creative Commons Attribution 4.0 International License.

Institution affiliated with

  • Hamad Medical Corporation
  • Hamad General Hospital - HMC
  • Weill Cornell Medical College in Qatar (-2015)

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