Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Novel surgical technique for complete traumatic rupture of the pancreas: A case report | Kreis et al. Journal of Medical Case Reports 2011 5 456 http content 5 1 456 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Novel surgical technique for complete traumatic rupture of the pancreas A case report 1 1 A z 2 3 1 1 Martin E Kreis Markus Albertsmeier Anno Graser Detlef Krenz Karl-Walter Jauch and Wolfgang E Thasler Abstract Introduction Complete pancreatic rupture is a rare injury. The typical mechanism by which this occurs is overstretching of the pancreas across the vertebral column during blunt abdominal trauma. The management of this injury depends on the location and extent of the injury. Case presentation A 45-year-old Caucasian woman presented with blunt abdominal trauma after she fell onto the end of a handlebar during a bicycle accident. She arrived in the emergency room with stable vital signs and an isolated bruise just above the umbilicus. A computed tomography scan revealed a complete rupture of the pancreas just ventral to her superior mesenteric vein and an accompanying hematoma but no additional injuries. An emergency laparotomy was performed the head of the pancreas was oversewn with interrupted sutures and this was followed by a two-layer pancreaticojejunostomy with the tail of the pancreas. The recovery after surgery was completely uneventful. Conclusions Isolated complete pancreatic rupture is a rare injury that can be managed with complete organ preservation. The combination of suturing the pancreatic head and two-layer pancreaticojejunostomy with the pancreatic tail is a feasible technique to manage this condition. Introduction Blunt abdominal trauma is typically followed by laceration of the spleen liver or mesentery of the intestine. Such trauma may also cause pancreatic rupture although this happens in less than 1 of cases 1 . Isolated pancreatic rupture after blunt abdominal trauma is even rarer and very few case reports for example 2 have been published. Pancreatic rupture may be classified .
