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Blunt pancreatic duct injury in children

机译:孩子们的胰腺导管损伤

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Case A 10‐year‐old boy sustained a blunt injury to the pancreatic neck with complete transection of the main pancreatic duct. Because endoscopic catheterization across the rupture site was not possible, an endoscopic nasopancreatic drain was inserted through the proximal pancreatic duct into the retroperitoneum. An emergency laparotomy was carried out, during which time the tube was used as a guide for identifying disrupted pancreatic ducts. Damaged tissue was removed, the proximal pancreatic duct was ligated, and a R oux‐en‐ Y distal pancreaticojejunostomy was carried out. Outcome The patient was discharged 49 days after surgery. Conclusion Preoperative catheterization of the transected pancreatic duct is an option for detecting a disrupted main pancreatic duct.
机译:一个10岁男孩对胰腺颈部造成钝伤,并完全横断胰腺。因为在破裂部位上的内窥镜导管术是不可能的,所以通过近端胰管插入到逆转录中的内窥镜鼻腔漏流。进行紧急剖腹术,在此,在此期间管用作鉴定破坏胰管的引导件。除去受损的组织,近端胰管被连接,并进行R oux-en-y an-an-en-an ancreaticojenutomyyy。结果患者在手术后49天出院。结论近期胰管导管的术前导管是检测破坏的主要胰管管的一种选择。

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