[Traumatic rupture of the pancreas and duodenum in pre-existing penetrating duodenal ulcer].
Pancreatic injuries are rare complications after blunt abdominal trauma and usually the result of a direct force separating the pancreatic body in front of the vertebral column. This case report describes the uncommon event of a severe pancreatic and duodenal injury (stage IV b of Lukas) in which the combination of a direct force and the setting of a preexisting penetrating ulcer of the duodenum caused the extent of the pancreatic and duodenal injury [9]. Because of the preexisting lesion a Whipple procedure had to be performed. This case report demonstrates the influence of chronic abdominal diseases on the outcome of blunt abdominal trauma.
Klinik und Poliklinik für Viszeral- und Gefässchirurgie, Universität zu Köln.
W
W
Schröder
I
I
Krüger
S P
SP
Mönig
A H
AH
Hölscher
D000007:Abdominal Injuries / Q000601:surgery; D002908:Chronic Disease; D004381:Duodenal Ulcer / Q000150:complications* / Q000601:surgery; D004386:Duodenum / Q000293:injuries* / Q000601:surgery; D005500:Follow-Up Studies; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000293:injuries* / Q000601:surgery; D010193:Pancreaticojejunostomy; D012421:Rupture; D013997:Time Factors; D014949:Wounds, Nonpenetrating