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Case Report Open Access


Percutaneous drainage for isolated pancreatic injury: A minimally invasive solution

Pinar Yazici, Rahsan Gocmen, Fatih Yuzbasioglu.

Abstract
Isolated traumatic rupture of the pancreas is an uncommon presentation with a rate of less than 5% of cases of major abdominal trauma. The proper management of peripancreatic fluid collections following pancreatic trauma is still uncertain. We present a patient with isolated pancreatic injury that was managed with percutaneous drainage. A 22-year-old male patient, who had fallen from a tree 3 days previously, was admitted to our clinic with symptoms of vomiting and abdominal distention. Laboratory results demonstrated leucocytosis (20.100/mm3) and elevated amylase levels (754 IU/L, n = 25-100 IU/L). Radiological diagnosis of a pancreatic injury associated with multiple peripancreatic fluid collections (the largest with a diameter of 100 mm × 40 mm × 75 mm) was established using ultrasonography (US). Computed tomography (CT) confirmed pancreatic transection. Conservative treatment, including somatostatin, was administrated and 5 days later percutaneous drainage catheters were placed under US guidance due to enlargement of the cystic collections (170 mm × 85 mm × 65 mm) and clinical progression. Seventeen days later, after confirming the regression of the fluid collections by US, the catheters were removed. No morbidity was observed and the control CT was normal. In hemodynamically stable patients, the percutaneous drainage procedure is one of the easiest and simplest ways to treat posttraumatic pancreatic fluid collections with less morbidity.

Key words: Blunt abdominal trauma, pancreatic injury, percutaneous drainage


 
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REFERENCES
1. Craig MH, Talton DS, Hauser CJ, Poole GV. Pancreatic injuries from blunt trauma. Am Surg 1995;61:125-8. [Pubmed]   
2. Lewis G, Krige JE, Bornman PC, Terblanche J. Traumatic pancreatic pseudocysts. Br J Surg 1993;80:89-93. [DOI via Crossref]    [Pubmed]   
3. Moore EE, Cogbill TH, Malangoni MA, Jurkovich GJ, Champion HR, Gennarelli TA, et al. Organ injury scaling, II: Pancreas, duodenum, small bowel, colon, and rectum. J Trauma 1990;30:1427-9. [DOI via Crossref]    [Pubmed]   
4. Leppäniemi A, Haapiainen R, Kiviluoto T, Lempinen M. Pancreatic trauma: Acute and late manifestations. Br J Surg 1988;75:165-7. [DOI via Crossref]    [Pubmed]   
5. Fulcher AS, Turner MA, Yelon JA, McClain LC, Broderick T, Ivatury RR, et al. Magnetic resonance cholangiopancreatography (MRCP) in the assessment of pancreatic duct trauma and its sequelae: Preliminary findings. J Trauma 2000;48:1001-7. [DOI via Crossref]    [Pubmed]   
6. Kim HS, Lee DK, Kim IW, Baik SK, Kwon SO, Park JW, et al. The role of endoscopic retrograde pancreatography in the treatment of traumatic pancreatic duct injury. Gastrointest Endosc 2001;54:49-55. [DOI via Crossref]    [Pubmed]   
7. Grace PA, Williamson RC. Modern management of pancreatic pseudocysts. Br J Surg 1993;80:573-81. [DOI via Crossref]   
8. Chrysos E, Athanasakis E, Xynos E. Pancreatic trauma in the adult: Current knowledge in diagnosis and management. Pancreatology 2002;2:365-78. [DOI via Crossref]    [Pubmed]   
9. Brun A, Agarwal N, Pitchumoni CS. Fluid collections in and around the pancreas in acute pancreatitis. J Clin Gastroenterol 2011;45:614-25. [DOI via Crossref]    [Pubmed]   
10. Thoeni RF. The revised Atlanta classification of acute pancreatitis: Its importance for the radiologist and its effect on treatment. Radiology 2012;262:751-64. [DOI via Crossref]    [Pubmed]   
11. Bradley EL 3rd, Young PR Jr, Chang MC, Allen JE, Baker CC, Meredith W, et al. Diagnosis and initial management of blunt pancreatic trauma: Guidelines from a multiinstitutional review. Ann Surg 1998;227:861-9. [DOI via Crossref]   
12. Lin BC, Fang JF, Wong YC, Liu NJ. Blunt pancreatic trauma and pseudocyst: Management of major pancreatic duct injury. Injury 2007;38:588-93. [DOI via Crossref]    [Pubmed]   
13. Abe T, Nagai T, Murakami K, Anan J, Uchida M, Ono H, et al. Pancreatic injury successfully treated with endoscopic stenting for major pancreatic duct disruption. Intern Med 2009;48:1889-92. [DOI via Crossref]    [Pubmed]   

How to Cite this Article
Pubmed Style

Yazici P, Gocmen R, Yuzbasioglu F. Percutaneous drainage for isolated pancreatic injury: A minimally invasive solution. Arch Clin Exp Surg. 2016; 5(1): 52-55. doi:10.5455/aces.20140323104904


Web Style

Yazici P, Gocmen R, Yuzbasioglu F. Percutaneous drainage for isolated pancreatic injury: A minimally invasive solution. http://www.ejmaces.com/?mno=153845 [Access: February 19, 2018]. doi:10.5455/aces.20140323104904


AMA (American Medical Association) Style

Yazici P, Gocmen R, Yuzbasioglu F. Percutaneous drainage for isolated pancreatic injury: A minimally invasive solution. Arch Clin Exp Surg. 2016; 5(1): 52-55. doi:10.5455/aces.20140323104904



Vancouver/ICMJE Style

Yazici P, Gocmen R, Yuzbasioglu F. Percutaneous drainage for isolated pancreatic injury: A minimally invasive solution. Arch Clin Exp Surg. (2016), [cited February 19, 2018]; 5(1): 52-55. doi:10.5455/aces.20140323104904



Harvard Style

Yazici, P., Gocmen, R. & Yuzbasioglu, F. (2016) Percutaneous drainage for isolated pancreatic injury: A minimally invasive solution. Arch Clin Exp Surg, 5 (1), 52-55. doi:10.5455/aces.20140323104904



Turabian Style

Yazici, Pinar, Rahsan Gocmen, and Fatih Yuzbasioglu. 2016. Percutaneous drainage for isolated pancreatic injury: A minimally invasive solution. Archives of Clinical and Experimental Surgery (ACES), 5 (1), 52-55. doi:10.5455/aces.20140323104904



Chicago Style

Yazici, Pinar, Rahsan Gocmen, and Fatih Yuzbasioglu. "Percutaneous drainage for isolated pancreatic injury: A minimally invasive solution." Archives of Clinical and Experimental Surgery (ACES) 5 (2016), 52-55. doi:10.5455/aces.20140323104904



MLA (The Modern Language Association) Style

Yazici, Pinar, Rahsan Gocmen, and Fatih Yuzbasioglu. "Percutaneous drainage for isolated pancreatic injury: A minimally invasive solution." Archives of Clinical and Experimental Surgery (ACES) 5.1 (2016), 52-55. Print. doi:10.5455/aces.20140323104904



APA (American Psychological Association) Style

Yazici, P., Gocmen, R. & Yuzbasioglu, F. (2016) Percutaneous drainage for isolated pancreatic injury: A minimally invasive solution. Archives of Clinical and Experimental Surgery (ACES), 5 (1), 52-55. doi:10.5455/aces.20140323104904





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