Traumatic pancreatic fistula with sinistral portal hypertension:Surgical management  

作　　者：Shoukat Ahmad Bojal Kam Fung Leung Abdul-Wahed Nasir Meshikhes 

机构地区：[1]Department of Surgery,King Fahad Specialist Hospital,Dammam 31444,Saudi Arabia

出　　处：《World Journal of Gastrointestinal Surgery》2010年第7期251-254,共4页世界胃肠外科杂志（英文版）（电子版）

摘　　要：Combined ductal and vascular injuries are awesome complications of pancreatic injury.We report on a 29-year-old male unrestrained driver who sustained a blunt abdominal injury from the steering wheel in a high velocity head-on car collision.He developed a pancreatic fistula,portosplenic venous thrombosis and sinistral portal hypertension as a result of complete duct disruption at the pancreatic neck.We describe a safe surgical strategy of spleen-preserving distal pancreatectomy after failed medical and endoscopic management.Combined ductal and vascular injuries are awesome complications of pancreatic injury. We report on a 29-year-old male unrestrained driver who sustained a blunt abdominal injury from the steering wheel in a high velocity head-on car collision. He developed a pancreatic fistula, portosplenic venous thrombosis and sinistral portal hypertension as a result of complete duct disruption at the pancreatic neck. We describe a safe surgical strategy of spleen-preserving distal pancreatectomy after failed medical and endoscopic management.

关 键 词：SPLEEN-PRESERVING DISTAL PANCREATECTOMY Pancreatic f istula Portosplenic VENOUS THROMBOSIS Sinistral portal hypertension 

分 类 号：R657.5[医药卫生—外科学]