title: Management of a complex pancreaticoduodenal lesion following a suicidal attempt with a crossbow.
abstract: Traumatic pancreaticoduodenal lesions are rare, often involve a challenging management, and have high rates of morbidity and mortality. A 43-year-old male patient committed a suicidal attempt by shooting an arrow with a crossbow into his upper abdomen. He was successfully treated with cautious multidisciplinary approach. Crossbow lesions demonstrate low kinetics. Sharp tips of arrows result in localized damage, likely to involve several organs. Pancreatic lesions are of particular interest because of their difficult surgery. Surgical exploration and drainage can allow an efficient management of pancreatic penetrating lesions, even in the presence of a complete pancreatic duct disruption.
authors.affiliation: Divisions of Abdominal and Transplantation Surgery, Faculty of Medicine, University Hospital of Geneva, Geneva, Switzerland.
authors.forename: Nadja
authors.initials: N
authors.lastname: Benmohamed
authors.affiliation: Divisions of Abdominal and Transplantation Surgery, Faculty of Medicine, University Hospital of Geneva, Geneva, Switzerland.
authors.forename: Ziad
authors.initials: Z
authors.lastname: Abbassi
authors.affiliation: Divisions of Abdominal and Transplantation Surgery, Faculty of Medicine, University Hospital of Geneva, Geneva, Switzerland.
authors.forename: Surennaidoo P
authors.initials: SP
authors.lastname: Naiken
authors.affiliation: Divisions of Abdominal and Transplantation Surgery, Hepato-Bilio-Pancreatic Centre, Faculty of Medicine, University Hospital of Geneva, Geneva, Switzerland.
authors.forename: Philippe
authors.initials: P
authors.lastname: Morel
authors.affiliation: Division of Radiology, University Hospital of Geneva, Geneva, Switzerland.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Platon
authors.affiliation: Division of Radiology, University Hospital of Geneva, Geneva, Switzerland.
authors.forename: Pierre-Alexandre
authors.initials: PA
authors.lastname: Poletti
authors.affiliation: Divisions of Abdominal and Transplantation Surgery, Hepato-Bilio-Pancreatic Centre, Faculty of Medicine, University Hospital of Geneva, Geneva, Switzerland christian.toso@hcuge.ch.
authors.forename: Christian
authors.initials: C
authors.lastname: Toso