[Duodeno-pancreatic trauma. About 14 cases].
Through a series of 14 cases brought over a period of 12 years, we realized a retrospective, analytical and descriptive study of these traumatisms. We aimed to release recommendations to improve their management. It was 2 women and 12 men, whom mean age was 24.4 years (extremes: 50 and 60 years), divided into 10 pancreatic injuries, 2 duodenal injuries and 2 duodeno-pancreatic injuries. Etiology was dominated by traffic accidents 7 cases (50%). Trauma was closed in 13 cases (92%). Associated lesions were present among 13 patients (92%). The traumatism appeared by an urgent surgical abdomen among 9 patients, secondarily in 3 cases, tardily in 2 cases: a case of deep suppuration 3 months after a traumatism treated into ambulatory and a case of persistent ascites after a past unperceived traumatism. Abdominal ultrasonography was made among 4 patients. It allowed diagnosing only a case. Scanner was made among 4 patients. It allowed diagnosing all the cases. Only a patient was treated medically, it was a post-traumatic acute pancreatitis. Surgical treatment was made in 13 cases: conservative in 7 cases and radical in 6 cases. Follow-up was complicated in 11 cases (78%) and non-complicated in 3 cases. Mortality rate was 7.1%.
Beyrouti
Mohamed Issam
MI
Service de chirurgie générale, EPS Habib Bourguiba, Sfax Tunisie.
Beyrouti
Ramez
R
Kchaou
Issam
I
Gharbi
Walid
W
Elleuch
Slim
S
Tafech
Issam
I
Frikha
Foued
F
Ben Amar
Mohamed
M
Ghorbel
Ali
A
Bouaziz
Mounir
M
Karoui
Abdelhamid
A
Sellami
Abdelhafidh
A
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004386:Duodenum / Q000293:injuries*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000293:injuries*; D010195:Pancreatitis / Q000188:drug therapy / Q000209:etiology; D012189:Retrospective Studies; D016896:Treatment Outcome; D014416:Tunisia; D014463:Ultrasonography; D014947:Wounds and Injuries / Q000000981:diagnostic imaging / Q000601:surgery*