摘要
腹部鈍挫傷造成的胰臟損傷不常見而且不容易診斷，延誤診斷及不適當的處置可能會造成高死亡率及併發症。我們報告了一例胰臟鈍挫傷，一位二十四歲男性被人毆打後送至急診，初期的表現是暫時性的低血壓、噁心及上腹痛。電腦斷層顯示胰臟頭部腫大及液體聚積於右側腎臟旁前方位置。經內視鏡逆行性胰道攝影可見近端主胰管斷裂及顯影劑外漏，病人隨後接受了遠端胰臟切除術，術後療程順利。對於鈍性胰管損傷而言，經內視鏡逆行性胰道攝影是一種安全又正確的診斷工具，完整的主胰管影像允許保守療法，手術治療則適用於主胰管損傷的病例。
並列摘要
Blunt abdominal trauma resulting in injury to the pancreas is uncommon and difficult to diagnose. Delayed diagnosis and improper management can result in can result in a high mortality and complication rate. We report a case of blunt pancreatic trauma. A 24-year-old man was sent to the emergency department after being assaulted. He presented with transient hypotension, nausea and epigastralgia. Computed tomography revealed welling of the pancreatic head region and fluid accumulation over the right anterior pararenal space. Complete disruption of the main pancreatic duct at the head portion wad diagnosed on endoscopic retrograde pancreatography (ERP). Distal pancreatectomy was performed without complications. EPR is safe and accurate in the diagnosis of blunt pancreatic duct injuries. An intact main pancreatic duct system allows conservative treatment. However, surgical intervention is indicated with main pancreatic duct injuries.
延伸閱讀
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