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KMID : 0371319720140080021
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Journal of the Korean Surgical Society
1972 Volume.14 No. 8 p.21 ~ p.27
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Traumatic Pancreatic Injuries
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金海奉/Kim, Hae Bong
朴宗均/朴東元/朴愚澤/柳亨祿/Park, Jong Keun/Park, Dong Won/Park, Woo Taka/Yoo, Hyung Rock
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Abstract
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This report is consisted of a review of 20 patients who sustained injuries to the pancreas due to exter
nal trauma during the years 1965∼1970 and who were treated on the Surgical service of Capital Armed
Forces General Hospital.
Injuries of the pancrean were classified as pencetratign and nonpenetrating. In over half of the cases
(60%), injuries were due to penetrating wounds of which bullets and shrapnells were most common.
Isolated injuries were not common, usually being associated with other organs in the peritoneal ca
vity. Seventeen of 20 cases in this series were apparently associated injuries. In pancreatic injury, the
most common associated organs injured were liver, stomach, spleem and kidney, colon and major vessel,
jejum and ileum adn duodenum, in decreasing order of frequency.
Clinical manifestation of the pancreas injury was masked by the associated injuris, but continuous
abdominal pain, abdominal distension, silent bowel sound and radiating pain to the back were suspected
to be due to pancreatic injury.
Simple closure with drainage was only possible in minute injuries to the pancreas, and pancreatic
resection was particularly preferable in partial or complete transection of the pancreas associated with
main ductinjury.
Complications were pancreatic fistula(5 cases), pseudocyst(2 cases), irreversible shock(3 cases),
renal filure(3 cases), subphrenic abscess(1 case) and acute hemorrhagic pancreatitis(1 case), of which
pancreatic fistula was most common.
The main causes of death were irreversible shock, reanl failure and acute hemorrhagic pancreatitis,
and deaths of patients totalled 7 of 20 cases.
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