학술논문
Pancreas-preserving duodenal resection, hepaticojejunostomy, and inferior vena cava repair for complex penetrating trauma.
Document Type
Article
Source
Subject
*DUODENUM surgery
*INFERIOR vena cava surgery
*ABDOMINAL injuries
*SMALL intestine
*JEJUNOSTOMY
*STAB wounds
*OPERATIVE surgery
*GASTRIC bypass
*TREATMENT effectiveness
*SURGICAL anastomosis
BILIARY tract surgery
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Language
ISSN
1460-4086
Abstract
Injury of the pancreaticoduodenal complex near the ampulla poses challenges for intra-operative decision making in an emergency setting. We present a rare case of penetrating abdominal trauma which resulted in injury to the second part of duodenum, intra-pancreatic common bile duct, and inferior vena cava. Inferior vena cava repair, pancreas sparing duodenal resection, Roux-en-Y hepaticojejunostomy, and gastrojejunostomy were performed with good postoperative outcomes. Technical aspects of the procedure and nuances in decision making are discussed along with relevant literature. [ABSTRACT FROM AUTHOR]