Abstract
[Background] The surgical indications for treating pancreatic injury have so far been dependent on the extent of such injury to the main pancreatic duct. However, the prognosis of pancreatic injury often is associated with the development of shock and the resulting hemodynamics. An investigation was carried out on a treatment strategy for pancreatorrhagia in 7 cases with traumatic pancreatic injuries. [Method] Pancreatorrhagia was defined as a disease in which extravasation from the pancreatic parenchyma was revealed upon CT findings. [Results] There were 7 male demonstrating pancreatorrhagia with a mean age of 34.3±13.0 years. Six of 7 cases underwent emergency abdominal surgery. In their laparotomy findings, all cases revealed persistent bleeding from the blood vessels of the pancreatic parenchyma and the area surrounding the pancreas, so suturing and surgical hemostasis were performed. Injury of the main pancreatic duct was observed in all 6 cases, and we were able to save the lives of the patients by performing pancreatectomy and drainage. On the other hand, the one patient who was treated by transcatheter embolization died from hemorrhagic shock. [Conclusion] Prompt abdominal hemostasis for traumatic pancreatorrhagia, and appropriate surgery, including damage control surgery, is therefore believed to lead to an increased survival rate.
