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Case Report
 
Trauma pancreatoduodenectomy: How and why?
Jorge Pereira1, Débora Aveiro2, Júlio Constantino3, Ana Oliveira4, Luis Filipe Pinheiro5
1Surgeon, Serviço de Cirurgia 1, Centro Hospitalar Tondela-Viseu, Viseu, Portugal.
2Resident, Serviço de Cirurgia 1, Centro Hospitalar Tondela-Viseu, Viseu, Portugal.
3Surgeon, Serviço de Cirurgia 1, Centro Hospitalar Tondela-Viseu, Viseu, Portugal.
4Consultant, Serviço de Cirurgia 1, Centro Hospitalar Tondela-Viseu, Viseu, Portugal.
5Department director, Serviço de Cirurgia 1, Centro Hospitalar Tondela-Viseu, Viseu, Portugal.

Article ID: 100019CRINTJP2015
doi:10.5348/crint-2015-19-CR-14

Address correspondence to:
Jorge de Almeida Pereira
Serviço de Cirurgia 1
Centro Hospitalar Tondela-Viseu Avenida Rei D.Duarte
3504-509 Viseu
Portugal

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How to cite this article:
Pereira J, Aveiro D, Constantino J, Oliveira A, Pinheiro LF. Trauma pancreatoduodenectomy: How and why? Case Rep Int 2015;4:57–61.


Abstract
Introduction: Blunt duodenopancreatic trauma is a rare clinical entity, occurring in less than 2% of all cases of closed abdominal trauma. However, duodenopancreatic injury has high morbidity and mortality rates, especially when severe. While most injuries need only simple surgical techniques, such as debridement or drainage, grade V injuries often require more complex solutions. These may include major pancreatic resection, such as the technically demanding Whipple procedure, which may need to be performed by surgical teams without adequate preparation, in an unstable patient, often at late hours.
Case Report: A case of a 51-year-old male who sustained blunt abdominal trauma with complex duodenopancreatic injury when he was involved in a motor vehicle collision. The patient was initially managed with damage control laparotomy; pancreaticoduodenectomy was performed in a second operation, with acceptable results.
Conclusion: Treatment of complex duodenal and pancreatic injury may require pancreaticoduodenectomy. The use of damage control techniques allows restoration of the patient's physiological parameters prior to the extensive surgical procedure.

Keywords: Abdominal injuries, Pancreatic trauma, Pancreatoduodenectomy, Damage control, Surgery


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Author Contributions
Jorge Pereira – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Débora Aveiro – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Júlio Constantino – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ana Oliveira – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Luis Filipe Pinheiro – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Jorge Pereira et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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