Menu
Menu
19 Harley St, London, W1G 9QJ, UK

Delayed prognosis and therapy of excessive grade blunt pancreatic trauma. Case report and overview of literature.

Related Articles

Delayed prognosis and therapy of excessive grade blunt pancreatic trauma. Case report and overview of literature.

Ann Ital Chir. 2017;88:539-545

Authors: Torba M, Gjata A, Rulli F, Kajo I, Ceka S, Asqeri T

Summary
INTRODUCTION: Regardless of technological development, excessive grade pancreatic accidents following blunt stomach trauma continues to stay a illness that’s related to excessive morbidity and mortality charges, notably in instances of delayed prognosis. The purpose of this paper was the presentation of delayed prognosis and therapy peculiarities of excessive grade pancreatic trauma and a overview of literature.
CASE REPORT: A 55-years outdated man, concerned in motorcar crashes, was referred to our degree I trauma heart. Hemodynamically steady. Stomach bodily examination, laboratory and targeted stomach sonography for trauma have been regular. First whole physique multidetector CT scan, carried out solely after 24 hours, confirmed virtually full left pneumothorax, left third to fifth rib fractures and subcutaneous emphysema. Left chest tube was utilized. On the eighth post-traumatic day, the overall situation of the affected person began to deteriorate. The affected person confirmed stomach ache, fever, nausea, vomiting, and bilateral flank ecchymosis. Solely the third CT scan carried out, on twelfth day, after the peritoneal indicators, modifications in blood and biochemical parameters seem, we revealed linear laceration and hypo-attenuation space of the neck and part of distal physique pancreas. In laparotomy fats necrosis, big retroperitoneal abscess, necrosis of the neck and distal physique of the pancreas, was discovered. Distal pancreatectomy with splenectomy was carried out. Postoperative course with in depth wound an infection and necrotic leakage from peripancreatic drain was sophisticated. The affected person was discharged two months after his operation with none occasions.
CONCLUSION: On time prognosis of pancreatic trauma, particularly in polytrauma sufferers, continues to stay a problem for trauma surgeons. Foremost pancreatic duct damage is a crucial prognostic issue and the main one figuring out therapeutic approaches. Ample surgical approaches lower morbidity and mortality in pancreatic trauma.
KEY WORDS: Delayed prognosis, Distal pancreatectomy, Pancreatic blunt trauma.

PMID: 29339584 [PubMed – in process]

Related Articles Delayed diagnosis and treatment of high grade blunt pancreatic trauma. Case report and review of literature. Ann Ital Chir. 2017;88:539-545 Authors: Torba M, Gjata A, Rulli F, Kajo I, Ceka S, Asqeri...

What our patients say ...

Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Surgeon
Consultant Spinal Anaesthetist

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

Laser Spine Surgery Articles

SHADES of grey – The challenge of ‘grumbling’ cauda equina symptoms in older adults with lumbar spinal stenosis.
Abstract Diagnosing cauda equina syndrome is challenging in older adults with lumbar spinal stenosis. Understanding these challenges is vital for
Read more.
The influence of preoperative mental health on clinical outcomes after laminectomy in patients with lumbar spinal stenosis.
Abstract OBJECTIVE: The influence of preoperative mental health on health-related quality of life (HRQOL) in patients with lumbar spinal stenosis
Read more.
MicroRNA transcriptome analysis on hypertrophy of ligamentum flavum in patients with lumbar spinal stenosis.
Abstract Introduction: Molecular pathways involved in ligamentum flavum (LF) hypertrophy are still unclarified. The purpose of this study was to
Read more.
Salvage Strategy for Failed Spinal Fusion Surgery Using Lumbar Lateral Interbody Fusion technique: A Technical Note.
Abstract Introduction: Failed spinal fusion surgery sometimes requires salvage surgery when symptomatic, especially with postsurgical decrease in intervertebral disc height
Read more.
Integrated anatomy of the neuromuscular, visceral, vascular, and urinary tissues determined by MRI for a surgical approach to lateral lumbar
Abstract Introduction: To comprehensively investigate the anatomy of the neuromuscular, visceral, vascular, and urinary tissues and their general influence on
Read more.
Clinical Outcomes of Treating Cervical Adjacent Segment Disease by Anterior Cervical Discectomy and Fusion Versus Total Disc Replacement: A Systematic
Related Articles Clinical Outcomes of Treating Cervical Adjacent Segment Disease by Anterior Cervical Discectomy and Fusion Versus Total Disc Replacement:
Read more.

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810