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KMID : 0359019910110010089
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Korean Journal of Gastrointestinal Endoscopy
1991 Volume.11 No. 1 p.89 ~ p.92
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Traumatic Pancreatic Transection Diagnosed by Emergent Endoscopic Retrograde Cholangiopancreatography
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이동기/Lee DK
이상수/장우익/권상옥/Lee SS/Jang WI/Kwon SO
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Abstract
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Pancreatic ductal rupture can be an elusive diagnosis. The early signs and symptoms are often vague, and when it goes unnoticed, ductal rupture results in inceased morbidity and mortality. Unfortunately, no diagnoatic test has proven reliable in its timely detection. Endoscopic retrograde cholangiopancreatography (ERCP) is routinely utilized to visualize the anatomy of the pancreatic duct in elective situation. But the utilization of emergent ERCP will allow detection of pancreatic rupture in clincal settings where surgery might not otherwise have been prompted by complications. In addition, present, timely visualization of the pancreatic duct will permit intelligent planning for pancreatic sugery. Recently, we experienced a case of 36-year-old female who had upper abdominal blunt trauma with heavy iron. Her serum amylase was high but the physical examination was vague. Emergent ERCP was performed and it revealed dye leak from rurptured pancreatic duct at tail portion of pancreas. Emergent distal pancreatectomy and splenectomy was successfully performed. So we report this case with a review of literatures.
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KEYWORD
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