Rottura del pancreas in seguito a trauma chiuso dell'addome (presentazione di un caso, note cliniche e terapeutiche).

Translated title of the contribution: Rupture of the pancreas after closed injury of the abdomen (presentation of a case, clinical and therapeutic notes)

U. Pandolfi, G. Uggeri, G. Soffiantini, G. Malaspina, L. Castagnoli

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Translated title of the contributionRupture of the pancreas after closed injury of the abdomen (presentation of a case, clinical and therapeutic notes)
Original languageItalian
Pages (from-to)610-620
Number of pages11
JournalChirurgia Italiana
Volume38
Issue number6
Publication statusPublished - Dec 1986

ASJC Scopus subject areas

  • Surgery

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