Spleen preserving distal pancreatectomy in isolated pancreatic trauma

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COD: 2742_09_12_2017_EP Categorie: , ,

Bora Barut, Felat Ciftci, Cuneyt Kayaalp

Ann Ital Chir, Digital Edition 2018, 7
Epub, September 12

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INTRODUCTION: Isolated pancreatic trauma is a rare condition and commonly come up in children or young adults.The
poor initial symptoms lead to delay diagnosis and treatment. The treatment of isolated distal pancreatic trauma including
the Wirsung’s duct is generally distal pancreatectomy. In an emergency setting, splenectomy is a common additional
organ resection requirement with the distal pancreatectomy. However, in circumstances, spleen preserving distal pancreatectomy
can provide advantages in these age groups even in emergency conditions.
CASE REPORT: Twenty-four-year old male was referred two days after a traffic accident. Acute abdominal findings required
laparotomy and preoperative computed tomography revealed a isolated distal pancreatic trauma including the Wirsung.
In the hemodynamically stable patient, a spleen preserving distal pancreatectomy (SPDP) was performed uneventfully.
CONCLUSION: Spleen preserving distal pancreatectomy is a beneficial and safe surgical option in isolated distal pancreatic
trauma. We propose this surgical procedure for children and young patients, who have good general condition, stable
vital findings and without another intraabdominal injury.

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