ISSN 2398-2969      

Pancreas: trauma

icanis
Contributor(s):

Elisa Mazzaferro


Introduction

  • Cause: mostly due to accidental blunt trauma or surgical manipulation. Penetrating trauma may involve multiple abdominal organs.
  • Signs: abdominal pain, vomiting, lethargy, anorexia, pyrexia.
  • Diagnosis: biochemistry, clinical findings.
  • Treatment: emergency exploratory coeliotomy may be necessary depending on degree of injury. Lavage.
  • Prognosis: pancreatic abscess may occur post-operatively if some pancreatic tissue remains following debridement or partial pancreatectomy.

Pathogenesis

Etiology

  • Accidental blunt trauma.
  • Penetrating trauma.
  • Surgical manipulation.

Pathophysiology

  • Trauma → tear or subcapsular hematoma, or severe disruption of the pancreas, possibly involving entire pancreas.
  • Trauma → interrupted blood supply to the pancreas +/- common blood supply to the pancreas and duodenum.
  • Leakage of pancreatic enzymes → autodigestion → pancreatitis Pancreatitis: acute.

Timecourse

  • Hours to days.

Diagnosis

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Treatment

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Outcomes

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Mehler S J, Mayhew P D, Drobatz K J & Holt D E (2004) Variables associated with outcome in dogs undergoing extraheptic biliary surgery: 60 cases (1988-2002). Vet Surg 33 (6), 644-649 PubMed.

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