Case of contusive pancreatic necrosis in a patient with blast-related abdominal trauma

27 листопада 2023
469
УДК:  616.37+616-001.4
Спеціальності :
Резюме

We describe a case of successful treatment of contusive pancreatic necrosis in a military serviceman with combined blast-related trauma to the abdominal cavity, lumbar region, pelvis, and extremities. Considering the severity of the injury, dynamic observation and repeated CT diagnostics allowed us to accurately establish the primary diagnosis, which played a crucial role in the patient’s critical condition, enabling us to choose the appropriate surgical and conservative treatment strategy. Following the treatment, the patient recovered and was discharged after 50 days.

References

  • 1. Boumitri C., Brown E., Kahaleh M. (2017) Necrotizing Pancreatitis: Current Management and Therapies. Clin. Endosc., 50(4): 357–365. doi: 10.5946/ce.2016.152.
  • 2. Leonard-Murali S., Lezotte J., Kalu R. et al. (2021) Necrotizing pancreatitis: A review for the acute care surgeon. Am. J. Surg., 221(5): 927–934. doi: 10.1016/j.amjsurg.2020.08.027.
  • 3. Dervenis C., Johnson C.D., Bassi C. (1999) Diagnosis, objective assessment of severity, and management of acute pancreatitis. Santorini consensus conference. Int. J. Pancreatol., 25(3): 195–210. doi: 10.1007/BF02786418.
  • 4. Singh V., Singh G., Verma G.R., Gupta S. (2013) Post-traumatic pancreatic pseudocyst: a rare clinical entity. J. Clin. Diagn. Res., 7(12): 2969–2970. doi: 10.7860/JCDR/2013/6556.3797.
  • 5. Cherdantsev D., Pervova O., Vinnik Iu., Kurbanov D. (2016) Prevention and treatment of post-traumatic pancreatic necrosis in patients with blunt abdominal trauma. Khirurgiia (Mosk.), 1: 73–77. doi: 10.17116/hirurgia2016173-77.