Abstract
Background and Aim: Pancreatic trauma is rare compared to other solid organ injuries of theabdomen. These injuries are difficult to diagnose and pose a problem in treatment strategy. Thisretrospective study aims to report our tertiary center experience in the management of pancreatictrauma. Material and Methods: The present study is one and half year observational study of 30patients who underwent pancreatic trauma management in the Department of Surgery, tertiary careinstitute of Gujarat. Demographic data and baseline characteristics were recorded, including age,sex, medical co-morbidities, mechanism of pancreatic trauma, length of the hospital stay, andassociated extrapancreatic injuries. All patients underwent a CT scan for the diagnosis of pancreaticinjury. Grading of pancreatic trauma was carried out according to the American Association forsurgery for Trauma (AAST). Results: Road traffic accident (RTA) (n=20) was the leading cause ofpancreatic trauma in the study population followed by fall from height (n=7) and assault (n=3). Themajority of the study population had Grade III pancreatic injury (n=12) followed by Grade IV (n=8),Grade II (n=7), and Grade I (n=3) injuries. No patients had Grade V injury. Isolated pancreatictrauma was seen in 13 patients. Associated liver and spleen injury was seen in 15 patients. Renaltrauma was seen in 2 patients. The extra-abdominal injury was seen to be associated withpancreatic injury in 7 patients. Conclusion: Pancreatic trauma can be managed conservativelyirrespective of the grade of injury supported by radiological percutaneous drainage and pancreaticduct stenting in selective cases.
Highlights
The pancreas is an organ located deep in the abdominal cavity, whose anatomical relationship with the digestive and vascular structures [14]explains the complexity and severity of pancreatic trauma which represents less than 5% of abdominal trauma [5,6]
Road traffic accident (RTA) (n=20) was the leading cause of pancreatic trauma in the study population followed by fall from height (n=7) and assault (n=3)
The extra-abdominal injury was seen to be associated with pancreatic injury in 7 patients
Summary
The pancreas is an organ located deep in the abdominal cavity, whose anatomical relationship with the digestive and vascular structures [14]explains the complexity and severity of pancreatic trauma which represents less than 5% of abdominal trauma [5,6]. A computed tomography scan (CT scan) is useful in the diagnosis and assessment of the severity of pancreatic trauma. This retrospective study aims to report our tertiary center experience in the management of pancreatic trauma. Pancreatic trauma is rare compared to other solid organ injuries of the abdomen. These injuries are difficult to diagnose and pose a problem in treatment strategy. Conclusion: Pancreatic trauma can be managed conservatively irrespective of the grade of injury supported by radiological percutaneous drainage and pancreatic duct stenting in selective cases
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