A Case Laparoscopic Surgery for Pancreatic Trauma

DOI 1 Citations 7 References
  • Narita Kazuhiro
    Department of General and Gastroenterological Surgery, Showa University School of Medicine
  • Murakami Masahiko
    Department of General and Gastroenterological Surgery, Showa University School of Medicine
  • Goto Satoru
    Department of General and Gastroenterological Surgery, Showa University School of Medicine
  • Otsuka Koji
    Department of General and Gastroenterological Surgery, Showa University School of Medicine
  • Kusano Mitsuo

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Other Title
  • 腹腔鏡下に診断・治療が可能であった外傷性膵損傷の１例

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Abstract

A 32 year-old woman had crashed off her snowboard severely, and came to our hospital complaining of left epigastralgia. Plain computed tomography revealed ascites around the body of the pancreas and rectouterine pouch. She was admitted for observation as damage to the pancreas was suggested. Twelve hours following admission her the white blood cell count and amylase level increased and the patient's symptoms deteriorated. Contrast-enhanced computed tomography showed an increase in the of fluid collection and enhanced effects indicating defects in the body and tail of the pancreas. A laparoscopic procedure was performed for the diagnosis and the treatment decision. The damage to the pancreas consisted of a subcapsular hematoma. A Drainage and releasing the pancreas were performed. The patient was discharged from the hospital on the 13th postoperative day. Laparoscopic intra abdominal inspection and surgery as a minimally invasive procedure can be an option for the diagnosis and treatment of pancreatic trauma on a case by case basis.

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