Journal of the Japanese Association for the Surgery of Trauma
Online ISSN : 2188-0190
Print ISSN : 1340-6264
ISSN-L : 1340-6264
Case Reports
A CASE OF NONOPERATIVE MANAGEMENT FOR THE TREATMENT OF A TYPE III B PANCREATIC INJURY
Shinjiro MORIAtsuo NAKAMURAToshio MORITAYoshihide SHIMOJOOsamu TAKASUNorio YAMASHITAShigeki HIKIDATeruo SAKAMOTO
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2015 Volume 29 Issue 4 Pages 389-393

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Abstract
  A 22-year-old man was injured in a traffic accident and diagnosed with a type III pancreatic injury. Because his vital signs were stable, transcatheter arterial embolization was performed for bleeding around the pancreatic injury and the decision was made to manage the injury nonoperatively. Because pseudocysts in the injured portion of the pancreas increased over the course of treatment and abdominal symptoms appeared, the case was followed up with a planned pancreatic cystojejunostomy. If prior diagnostic imaging had shown a primary pancreatic duct injury, a laparotomy would have been performed immediately. However, when a patient's condition is stable, even if there is a primary pancreatic duct injury, nonoperative management is feasible.
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© 2015 The Japanese Association for the Surgery of Trauma
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