A case of major pancreatic duct injury following penetrating trauma successfully treated with pancreatic parenchyma repair and endoscopic pancreatic stenting

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  • 鋭的外傷による主膵管損傷に膵縫合術と内視鏡的ステント留置を併用した1例
  • 症例 鋭的外傷による主膵管損傷に膵縫合術と内視鏡的ステント留置を併用した1例
  • ショウレイ エイテキ ガイショウ ニ ヨル シュスイカン ソンショウ ニ スイホウゴウジュツ ト ナイシキョウテキ ステント リュウチ オ ヘイヨウ シタ 1レイ

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Abstract

A 32-year-old woman stabbed herself in the epigastrium during a suicide attempt. Her vital signs were stable, but abdominal CT showed injuries in the liver and pancreas. During surgery, a penetrating liver laceration and a few lacerations of the body of the pancreas were noted. Only the bleeding was controlled, and a pancreatic parenchyma repair and drainage were done due to uncertainty about the extent of Main pancreatic ductal injury ; an endoscopic retrograde pancreatography (ERP) for the diagnosis and treatment of the Main pancreatic ductal injury was planned. After the operation, ERP revealed main pancreatic ductal disruption, and a pancreatic stent was placed to bridge the injured site. On the 10th day, the stent slipped from the pancreatic duct, but the patient remained in good condition. She was discharged on postoperative day 44 without a pancreatic fistula. Surgical intervention along with planned ERP and pancreatic stenting are effective in the treatment of Main pancreatic ductal injury following penetrating trauma.

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