書誌事項
- タイトル別名
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- Distal Pancreatogastrostomy for the Treatment of a IIIb-Type Pancreas Head Injury Diagnosed by Bolus-injection Contrast-enhanced Helical CT: A Case Report.
抄録
We report a case of a IIIb-type pancreas head injury diagnosed by bolus-injection, contrast-enhanced helical CT and treated using a distal pancreatogastrostomy. A 19-year-old woman, who had been involved in a traffic accident, in which she received a contusion in her upper abdomen, was referred to our department from a neighborhood hospital. Although a pancreas injury was diagnosed by a drip-infusion contrastenhanced CT examination, the degree of severity could not be assessed. Therefore, after an intra-tracheal intubation was performed, a bolus-injection, contrast-enhanced helical CT examination was performed; this examination revealed a complete transection of the pancreas on the right side of the superior mesentericvein and portal vein. She underwent an emergent laparotomy, and the same findings as those revealed by the CT scan were obtained. The proximal end of the main pancreatic duct was ligated, and the distal side of the duct was cannulated and anastomosed to the posterior wall of the stomach (distal pancreatogastrostomy). The postoperative course was uneventful; the patient's pancreatic function was well preserved, and she eventually returned to her routine work. In conclusion, bolus-injection, contrast-enhanced helical CT examinations are useful for assessing the degree of pancreatic injury. Moreover, a distal pancreatogastrostomy is a simple and safe procedure that enables pancreatic tissue function to be preserved in patients with III-type pancreatic injuries.
収録刊行物
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- 日本腹部救急医学会雑誌
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日本腹部救急医学会雑誌 23 (1), 121-125, 2003
日本腹部救急医学会
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キーワード
詳細情報 詳細情報について
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- CRID
- 1390001204735522816
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- NII論文ID
- 130004086904
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- ISSN
- 18824781
- 13402242
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可