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  • Title: [Pancreatic trauma: 25-year experience].
    Author: Kirov G, Kondarev M.
    Journal: Khirurgiia (Sofiia); 2005; (4-5):23-6. PubMed ID: 18693513.
    Abstract:
    The authors present 25 years experience in the treatment of traumatic injuries of pancreas. The clinical material covers 24 patients for the period 1984-2004. Twenty two (22) are gunshot injuries to the pancreas and 2 are blunt pancreatic injuries. From the traumatic lesions predominated the hematoma (I AAST grade) in 12 (50%) cases, lacerations (II AAST grade) in 9 (37,5%) cases, rupture of the pancreas in 3 (12,5%)--two patients with III grade and one patient with IV grade pancreatic injuries. Localizations of the lesions are as follow: body of the pancreas--13 (54,1%), tail--6 (25%), head--5 (20,8%) cases, Performed procedures are suture of the pancreatic capsule at 7 patients, distal pancreatic resection at 5 and laoparostomy at 4 patients. The following postoperative complications occurred: retroperitoneal phlegmon in 1 case, diffuse peritonitis--7, sepses--6, intraabdominal hemorrhage--4, hepato-renal syndrome--4, bronchopneumonia--4, stress ulcus--2, posttraumatic pancreatitis--1, pancreatic fistula--1. The mortality rate is 50% in the group of the gunshot injuries, while in cases of blunt trauma there were no dead. Conclusion--the authors point out the severity of the abdominal traumas in the presence of gunshot pancreatic injuries.
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