Two Cases of Pancreatic Trauma Type IIIb ; Surgically and Non-surgically Managed
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- KUISE Takashi
- Department of Gastroenterological Surgery, Japanese Red Cross Okayama Hospital
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- MIHARA Daiki
- Department of Gastroenterological Surgery, Japanese Red Cross Okayama Hospital
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- HAMAZAKI Tomohiro
- Department of Gastroenterological Surgery, Japanese Red Cross Okayama Hospital
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- AKIMOTO Yutaka
- Department of Gastroenterology, Japanese Red Cross Okayama Hospital
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- HARADA Ryo
- Department of Gastroenterology, Japanese Red Cross Okayama Hospital
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- YAMANO Toshihisa
- Department of Gastroenterological Surgery, Japanese Red Cross Okayama Hospital
Bibliographic Information
- Other Title
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- 緊急手術・保存的治療と異なる方針で治療したIII b型外傷性膵損傷の2例
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Abstract
<p>Here, we report two cases of pancreatic trauma type IIIb.</p><p>A 22-year-old man presented with abdominal pain following a personal watercraft accident. Abdominal computed tomography (CT) revealed a pancreatic injury. Endoscopic retrograde pancreatography (ERP) showed complete disruption of the main pancreatic duct (MPD) in the body, which could not be managed by ERP-guided stenting of the distal duct. Surgical management was opted, and he was discharged on day 8 without any complications.</p><p>A 12-year-old boy presented with abdominal pain 2 days after being injured by an elbow strike in a handball game. Abdominal CT scan revealed pancreatic injury without pancreas-serosa rupture. ERP revealed complete disruption of the MPD in the body, which was successfully managed by ERP-guided stenting of the distal duct. Non-surgical management was opted in this case, and patient was discharged on day 15 without any complications.</p><p>Non-surgical management, including endoscopic stenting procedures, may be a less invasive and effective treatment option for selected patients with higher-grade pancreatic injuries.</p>
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 84 (2), 326-332, 2023
Japan Surgical Association
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Keywords
Details 詳細情報について
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- CRID
- 1390297294023253632
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- ISSN
- 18825133
- 13452843
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed