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| 題 名 | Gunshot Injuries to the Pancreas Head: A Case Report and Literature Review=胰臟頭部槍傷:病例報告與相關文獻回顧 |
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| 作 者 | 奚聖川; 柯朝元; | 書刊名 | 臺灣外科醫學會雜誌 |
| 卷 期 | 36:2 民92.03-04 |
| 頁 次 | 頁92-96 |
| 分類號 | 416.248 |
| 關鍵詞 | 胰臟頭部槍傷; Transpapillary wirsungography; Pebnetrating abdominal injury; Plastic pancreatic stent; |
| 語 文 | 英文(English) |
| 英文摘要 | A major pancreatic trauma challenges the trauma surgeon with diagnostic problems and the choice of treatment modalities. Assessment of the integrity of the pancreatic ductal system after a penetrating injury is mandatory to help prevent potentially fatal complications. We report here the use of a catheter for transpapillary wirsungography intraoperatively to assess ductal integrity after a pancreatic head gunshot wound, together with the successful postoperative management of ductal stricture by endoscopic retrograde stenting technique. A 21-year-old soldier suffered a penetrating abdominal injury from a self-inflicted high velocity bullet through hepatic segment IV, the first portion of duodenum, and the pancreatic head, together with comminuted fractures of L2-L3 vertebral bodies, and spinal cord thermal damage. Intraoperative pancreatography showed no obvious pancreatic duct disruption, therefore adequate debridement of devitalized tissues of pancreatic head and duodenum, peri-pancreatic drainage and feeding jejunostomy were done. Postoperative endoscopic placement of a 7Fr plastic pancreatic stent in Wirsung's duct was repeatedly done to prevent long-term ductal stenosis. |
本系統中英文摘要資訊取自各篇刊載內容。