Delayed Presentation of Isolated Complete Pancreatic Transection as a Result of Sport-Related Blunt Trauma to the Abdomen

Delayed Presentation of Isolated Complete Pancreatic Transection as a Result of Sport-Related Blunt Trauma to the Abdomen

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Introduction: Blunt abdominal trauma is a rare but well-recognized cause of pancreatic transection.A delayed presentation of pancreatic fracture following sport-related blunt trauma with the coexisting diagnostic pitfalls is presented.Case Report: A 17-year-old rugby player was referred to our specialist unit after having been diagnosed with traumatic pancreatic transection, having presented 24 h after a sporting injury.

Despite haemodynamic stability, at laparotomy he was found to have a diffuse mesenteric hematoma involving the large and small bowel mesentery, extending down to click here the sigmoid colon from the splenic flexure, and a large retroperitoneal hematoma arising from the pancreas.The pancreas was completely severed with the superior border of the distal segment remaining attached to the splenic vein that was intact.A distal pancreatectomy with spleen preservation read more and evacuation of the retroperitoneal hematoma was performed.

Discussion/Conclusion: Blunt pancreatic trauma is a serious condition.Diagnosis and treatment may often be delayed, which in turn may drastically increase morbidity and mortality.Diagnostic difficulties apply to both paraclinical and radiological diagnostic methods.

A high index of suspicion should be maintained in such cases, with a multi-modality diagnostic approach and prompt surgical intervention as required.