Ulus Travma Acil Cerrahi Derg. 2016; 22(6): 566-568 | DOI: 10.5505/tjtes.2016.09334

Travmatik pankreas kanal transeksiyonunda stentlemeyle birlikte ERKP: Olgu sunumu

Deepa Prashant Makhija, Jayesh Desale, Charu Tiwari, Hemanshi Shah
Pediyatrik Cerrahi Anabilim Dalý, T.N.M.C, Mumbai-Hindistan

Seyrek görülmekle birlikte pankreas yaralanmalarý çeþitli içi boþ ve solid organlara yakýnlýklarý nedeniyle yüksek bir morbiditeyle iliþkilidir. Erken taný koyma zorluðu morbiditeye katkýda bulunmaktadýr. Pankreas kanalýnýn durumu yaralanmayý derecelendirmede ve tedavi kararýnda önemli bir etkendir. Düþük dereceli yaralanmalarda konservatif tedavi uygulanýr. Daha yüksek dereceli pankreas yaralanmalarý genellikle cerrahi yolla tedavi edilir. Son zamanlarda kolanjiyobiliyer ve pankreatik patolojilerin etkili tanýsal ve terapötik bir yöntemi olarak endoskopik retrograd kolanjiyopankreatikografi (ERKP) kullanýlmaya baþlanmýþtýr. Bu yazýda, endoskopik retrograd kolanjiyopankreatikografi kýlavuzluðunda pankreas kanalý stentlenerek baþarýlý bir þekilde tedavi edilen posttravmatik komplet pankreas kanal transeksiyonu olan 12 yaþýndaki bir erkek çocuðu sunuldu. Travma ortamýnda ERKP’nin terapötik avantajlarý ve iliþkin zorluklar vurgulanmaktadýr.

Anahtar Kelimeler: ERKP, künt karýn travmasý, pankreas transeksiyonu, stentleme.

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ERCP with stenting of traumatic pancreatic duct transection: A case report

Deepa Prashant Makhija, Jayesh Desale, Charu Tiwari, Hemanshi Shah
Department Of Paediatric Surgery,T.N.M.C,Mumbai,India.

Pancreatic injuries, though rare, are associated with high morbidity because of location of pancreas adjacent to the various hollow and solid organs. Difficulty in early diagnosis adds to morbidity. Condition of the pancreatic duct is an important factor in grading the injury and deciding upon course of management. Conservative management is the line of treatment in lower grade injuries. Higher grades of pancreatic injuries are usually managed surgically. Endoscopic retrograde cholangiopancreaticography (ERCP) has recently emerged as an effective diagnostic as well as therapeutic modality for hepatobiliary and pancreatic pathologies. Presently described is case of a 12-year-old boy who presented with post-traumatic complete transection of pancreatic duct, which was successfully managed by ERCP-guided stenting of the duct. Therapeutic advantages of ERCP in trauma setting and difficulties involved are highlighted.

Keywords: Blunt abdominal trauma, ERCP, pancreatic transection, stenting.

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