The Outcome of Non-Operative Treatment Following Complex Pancreaticoduodenal Injury: A Case Report

Authors

  • Thanapon Supapon Department of Surgery, Phrapokklao Hospital Chanthaburi
  • Kittisak Wangsathaporn Department of Surgery, Phrapokklao Hospital Chanthaburi

Keywords:

Complex pancreaticoduodenal injury, Pancreatic trauma, Duodenal injury, Blunt abdominal trauma

Abstract

Complex pancreaticoduodenal injury is an uncommon event that is often difficult to diagnose at an early stage. After abdominal trauma, the surgeon must always be aware of the possibility of pancreaticoduodenal trauma due to the complications associated with missed pancreaticoduodenal injuries. Due to its retroperitoneal position, associated organ and vascular injuries are almost always present, which, along with frequent extra-abdominal injuries, explain the high morbidity and mortality. A high index of suspicion, mechanism of injury, and early identification are key to the final outcome. This study aimed to present a concise description of the outcome of nonoperative management after a complex pancreaticoduodenal injury and the analysis of pancreaticoduodenal-specific complications and morbidity in these patients.

References

Coccolini F, Kobayashi L, Kluger Y, et al. Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines. World J Emerg Surg. 2019;14:56. doi: 10.1186/s13017-019-0278-6.

Feng XF, Fan W, Shi CX, et al. Simplified pancreatoduodenectomy for complex blunt pancreaticoduodenal injury. Chin J Traumatol. 2013;16(5):311-3.

Rickard MJ, Brohi K, Bautz PC. Pancreatic and duodenal injuries: keep it simple. ANZ J Surg. 2005;75(7):581-6. doi: 10.1111/j.1445-2197.2005.03351.x.

TJS 44-4 04

Downloads

Published

2023-12-28

How to Cite

1.
Supapon T, Wangsathaporn K. The Outcome of Non-Operative Treatment Following Complex Pancreaticoduodenal Injury: A Case Report. Thai J Surg [Internet]. 2023 Dec. 28 [cited 2024 Nov. 22];44(4):156-62. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/264479

Issue

Vol. 44 No. 4 (2023): October - December

Section

Case Reports

License

Copyright (c) 2023 The Royal College of Surgeons of Thailand

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.