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Isolated Pancreatic Transection Due to Motorcycle Accident with Endoscopic Treatment: A Case Report
오토바이 사고로 발생한 췌장 단독 절단 손상에 대한 내시경적 치료
J Acute Care Surg 2018;8:74−77
Published online October 30, 2018;  https://doi.org/10.17479/jacs.2018.8.2.74
© 2018 Korean Society of Acute Care Surgery.

Chan Ik Park, M.D.*, Sung Jin Park, M.D.*, Jae Hun Kim, M.D.*, Dong Hoon Baek, M.D.
박찬익, 박성진, 김재훈, 백동훈

*Department of Trauma Surgery, Division of Gastroenterology, Department of Internal Medicine, Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
Sung Jin Park, M.D.
Department of Trauma Surgery, Pusan National University Hospital, 179 Gudeok-ro, Seo-gu, Busan 49241, Korea
Tel: +82-51-240-7369
Fax: +82-51-247-7719
E-mail: psjtrauma@gmail.com
ORCID: http://orcid.org/0000-0002-4852-5442
Received March 22, 2018; Revised August 27, 2018; Accepted September 3, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
An isolated pancreatic transection due to blunt trauma is a rare occurrence that usually requires surgical treatment. Non-surgical treatment for a pancreatic transection remains controversial because of its associated complications. On the other hand, non-surgical treatment has been used increasingly as a treatment option with promising results in recent years. A patient presented with a suspected pancreatic injury caused by a motorcycle accident. The computed tomography findings revealed an isolated pancreatic neck transection with a small amount of fluid collection. He was hemodynamically stable without signs of peritoneal irritation. Endoscopic retrograde pancreatography and stent insertion were performed. The patient had no significant complications and was discharged on day 18. The stent was removed on day 103 and the patient showed good recovery. For an isolated pancreatic transection, endoscopic intervention can be considered as an alternative with a good outcome in selected patients.
Keywords : Cholangiopancreatography, endoscopic retrograde, Pancreas, Wounds and Injuries


October 2018, 8 (2)
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