Rupture of the pancreas after closed injury of the abdomen (presentation of a case, clinical and therapeutic notes)
Pandolfi, U.; Uggeri, G.; Soffiantini, G.; Malaspina, G.; Castagnoli, L.
Chirurgia Italiana 38(6): 610-620
1986
ISSN/ISBN: 0009-4773 PMID: 3568225 Document Number: 271513
The authors observed a case of a complete breaking of pancreas between head and body associated to a serious lesion of the liver, favourably treated in emergency by means of a subtotal splenopancreatectomy and a suture of the hepatic lacerations, and that gave them the occasion to think over the serious risks linked with an insufficient evaluation of a pancreatic lesion and its most appropriate surgical treatment. In details, personal experience and the examination of Literature showed that in the laparotomy it is absolutely necessary to examine all the gland carefully and methodically in order to recognize and evaluate accurately the pancreatic lesion, which is often concealed by the massive manifestations caused by the concomitant lesions of other intra-abdominal viscera. Besides, among the suggested surgical techniques, the subtotal splenopancreatectomy proved to be the safest, bringing no consequences from the functional point of view, even when extended to more than 80% of the glandular tissue.