Journal of the Japanese Association for the Surgery of Trauma
Online ISSN : 2188-0190
Print ISSN : 1340-6264
ISSN-L : 1340-6264
Case Report
ERP CANNOT DETECT PENETRATING TRAUMA OF THE MAIN PANCREATIC DUCT : A CASE REPORT
Katsuhiro OGAWA, Kazuki MATSUMURA, Takaaki HIGASHI, Kenji SHIMIZU, Hidetoshi NITTA, Toshiro MASUDA, Shinichi AKABOSHI, Katsutaka MATSUMOTO, Toshiaki IKUTA, Tetsuya OKINO, Hiroshi TAKAMORI
Author information
Keywords: main pancreatic duct injury, endoscopic retrograde pancreatography, endoscopic pancreatic stenting
JOURNAL FREE ACCESS

2019 Volume 33 Issue 4 Pages 394-397

Details
Download PDF (791K)
Download citation RIS

(compatible with EndNote, Reference Manager, ProCite, RefWorks)

BIB TEX

(compatible with BibDesk, LaTeX)

Text
How to download citation
Contact us
Abstract

　　Endoscopic retrograde pancreatography (ERP) is recommended to detect injury of the main pancreatic duct (MPD). We report a case in which ERP was unable to detect penetrating injury of the MPD. A 75-year-old woman stabbed herself in the abdomen. Abdominal CT revealed pancreatic head injury, but ERP demonstrated no injury of the MPD. We performed simple closure of the stomach and peri-pancreatic drainage. Postoperative biliary and pancreatic fistulae were suspected. Therefore, second ERP was carried out, which confirmed injury of the MPD and the common bile duct. After the endoscopic pancreatic stent was inserted, choledochojejunostomy was performed. False-negatives may occur on ERP when assessing penetrating trauma of the MPD. In addition, endoscopic pancreatic stents are useful even for MPD penetrating trauma of the pancreatic head.

Content from these authors
© 2019 The Japanese Association for the Surgery of Trauma
Previous article Next article
Favorites & Alerts

Recently viewed articles
Share this page
feedback
 Top