Traumatic Pancreaticoduodenectomy and Superior Mesenteric Vein Injury After Blunt Trauma in a Pediatric Patient

Delayed gastric emptying complicated her postoperative recovery, however, she was discharged home on hospital day 22, tolerating oral intake along with supplemental nasoenteral tube feeds. The Eastern Association for the Surgery of Trauma guidelines recommend resection for injuries involving pancrea...

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Bibliographic Details
Published in:The American surgeon 2015-09, Vol.81 (9), p.e328-329
Main Authors: Long, Kristin L, Skinner, Sean C, Ward, Austin N, Strong, William R, McGrath, Patrick C, Maynard, Erin C
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Injuries - complications
Abdominal Injuries - diagnosis
Abdominal Injuries - surgery
Child
Female
Humans
Injuries
Intensive care
Laparotomy
Magnetic Resonance Imaging
Mesenteric Artery, Superior - injuries
Multiple Trauma
Pancreas
Pancreaticoduodenectomy - methods
Pediatrics
Tomography, X-Ray Computed
Trauma Severity Indices
Vascular System Injuries - diagnosis
Vascular System Injuries - etiology
Wounds, Nonpenetrating - complications
Wounds, Nonpenetrating - diagnosis
Wounds, Nonpenetrating - surgery
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Summary:Delayed gastric emptying complicated her postoperative recovery, however, she was discharged home on hospital day 22, tolerating oral intake along with supplemental nasoenteral tube feeds. The Eastern Association for the Surgery of Trauma guidelines recommend resection for injuries involving pancreatic duct injury and pancreatic transection, which is often amenable to a distal pancreatectomy.4 With complex multiorgan trauma, anecdotal wisdom dictates that a pancreaticoduodenectomy should generally only be performed if the majority of the resection/transection has been done by the trauma itself.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481508100903