Regarding the given statements . A. All patient’s with pancreatic trauma should undergo exploratory laparotomy B. After conservative management for pancreatic injury, duct stricture and pseudocyst may occur as complications
Correct Answer: A is False. B is True
Description: Pancreatic Trauma - Adults: MC cause - penetrating trauma - Children: MC cause - Blunt trauma - Most commonly affected - Body of pancreas Dx: IOC for Dx: CECT ERCP Most reliable test to demonstrate pancreatic duct integrity Mx I - Observation II - Debridement, drainage, possible repair III - distal resection, Roux-en-Y drainage IV & V - * Damage control surgery - Resection + Roux-en-Y drainage - Triple tube decompression - Pyloric exclusion - Duodenal diveiculorization - P/D Most common complication: pancreatic fistula / persistent drain output
Category:
Surgery
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