Perforating pancreatic injury

new approaches and unexpected complications

Autores

  • Leonardo Kenji Sakaue Koyama Faculdade de Medicina FMUSP, Universidade de São Paulo
  • Alissom Vitti Cincoto Faculdade de Medicina FMUSP, Universidade de São Paulo
  • Francisco d de Sales Collet e Silva Faculdade de Medicina FMUSP, Universidade de São Paulo https://orcid.org/0000-0002-0742-1786
  • Adriano Meyer Pflug Faculdade de Medicina FMUSP, Universidade de São Paulo
  • Edivaldo Massazo Utiyama Faculdade de Medicina FMUSP, Universidade de São Paulo https://orcid.org/0000-0002-8376-975X

DOI:

https://doi.org/10.11606/issn.1679-9836.v97iSuppl.1p11-11

Palavras-chave:

Armas de Fogo, Trauma, Pâncreas, Laparoscopia

Resumo

Perforating Pancreatic Injury (PPI) is an uncommon event in trauma centers. One of its uncommon complications is Pancreatic Fluid Collection (PFC), which was only studied in acute pancreatitis cases. Other of its rare, but most feared complications is the Major Pancreatic Duct (MPD) disconnection, that most authors recommend to be treated immediately. We report a successful case of PPI that was initially approached by videolaparoscopy, had a infected PFC formation that was drained by endoscopy and a posterior MPD disconnection. In conclusion, we suggest that videolaparoscopy is possible in patients with PPI and minimally invasive approaches in the acute phase may postpone more aggressive procedures to an elective and well planned approach.

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Publicado

2018-09-28

Como Citar

Koyama, L. K. S., Cincoto, A. V., Collet e Silva, F. d de S., Pflug, A. M., & Utiyama, E. M. (2018). Perforating pancreatic injury: new approaches and unexpected complications. Revista De Medicina, 97(Suppl.1), 11-11. https://doi.org/10.11606/issn.1679-9836.v97iSuppl.1p11-11

Edição

Seção

COMU - Oswaldo Cruz Awards - Case Report