TRAUMA
Penetrating trauma
like in gunshot or stab wounds is
the main
cause.
Blunt
trauma is responsible in a third
of cases and tears the
pancreas in two across the vertebral
column. Fig. 22.2
*
Patients present with history of trauma
*
Followed by signs of blood loss, peritonitis and shock
*
Pancreatic fistula, pseudocyst or death are usually the result
of disruption of the organ itself or its ductal
system in
late undiagnosed case.
*
Awareness of the possibility of
this should be kept in mind
when trauma is followed by abdominal pain
- evidence of continuing
haemorrhage
- tenderness and guarding or
- fever
5.1 TREATMENT
At the time of exploration of the
haematoma, attention should be
first
directed towards haemostasis
followed by repair of the
injury.
In some cases distal pancreatectomy is
required.
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