title: Blunt trauma - related isolated pancreatic injury.
abstract: BACKGROUND
  Pancreatic injuries arising from blunt trauma are rarely seen. Diagnosis and treatment are difficult because of retroperitoneal localization of the organ. We present four pancreatic cases with isolated pancreatic injury due to blunt abdominal trauma.
  
  
  METHODS
  This retrospective study included four pancreatic patients who were operated on due to isolated injury caused by blunt abdominal trauma at our department between January 2004 and October 2010.
  
  
  RESULTS
  The patients consisted of three males and one female. One of them was in stage IV and the rest were in stage III. All underwent pancreaticojejunostomy, distal pancreatectomy, distal pancreatectomy + splenectomy and drainage, respectively. Fistula developed in two of them, and abscess developed in one, while the other one died.
  
  
  CONCLUSIONS
  Diagnosis may be delayed since the clinical condition is initially stable. Tomography remains one of the most important diagnostic tools. Common risk factors for morbidity and mortality are the presence of ductal injury and delayed laparotomy (Tab. 1, Fig. 4, Ref. 22).
authors.forename: A
authors.initials: A
authors.lastname: Onder
authors.forename: M
authors.initials: M
authors.lastname: Kapan
authors.forename: G
authors.initials: G
authors.lastname: Tekbas
authors.forename: Z
authors.initials: Z
authors.lastname: Arikanoglu
authors.forename: I
authors.initials: I
authors.lastname: Aliosmanoglu
authors.forename: F
authors.initials: F
authors.lastname: Taskesen
authors.forename: S
authors.initials: S
authors.lastname: Girgin
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D010179:Pancreas / Q000293:injuries*; D012189:Retrospective Studies; D014949:Wounds, Nonpenetrating / Q000150:complications*; D055815:Young Adult