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  • Title: [Traumatic rupture of the pancreas and duodenum in pre-existing penetrating duodenal ulcer].
    Author: Schröder W, Krüger I, Mönig SP, Hölscher AH.
    Journal: Zentralbl Chir; 2000; 125(5):464-6. PubMed ID: 10929633.
    Abstract:
    Pancreatic injuries are rare complications after blunt abdominal trauma and usually the result of a direct force separating the pancreatic body in front of the vertebral column. This case report describes the uncommon event of a severe pancreatic and duodenal injury (stage IV b of Lukas) in which the combination of a direct force and the setting of a preexisting penetrating ulcer of the duodenum caused the extent of the pancreatic and duodenal injury [9]. Because of the preexisting lesion a Whipple procedure had to be performed. This case report demonstrates the influence of chronic abdominal diseases on the outcome of blunt abdominal trauma.
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