CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Čes. Radiol., 56, 2002, No. 5, p. 280 - 283. |
Drainage of a Pancreatic Pseudocyst after a Blunt Abdominal Trauma –
Case-report Rejtar P.1, Koudelka J.2, Rejchrt S.3 Radiologická klinika Fakultní nemocnice, Hradec Králové,1 přednosta doc. MUDr. Pavel Eliáš, CSc. Oddělení dětské chirurgie a traumatologie Fakultní nemocnice, Hradec Králové,2 přednostka prim. MUDr. Miroslava Králová, PhD. II. interní klinika – KCVL Fakultní nemocnice, Hradec Králové,3 přednosta prof. MUDr. Jaroslav Malý, CSc. |
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Summary: The authors report a case of a blunt abdominal trauma in a sixteen-year-oldmale. Pancreatic injury
was complicated by the development of a pseudocyst which was continuously replenished by
secretions from an injured secondary duct. The patient’s initial clinical condition, laboratory and
radiological findings permitted conservative treatment. Neither repeated punctures of the pseudocyst,
nor drainage of the major pancreatic duct led to a decrease of serum amylase or improvement
of the patient’s condition. Replenishment and gradual enlargement of the pseudocyst were reasons
for performing percutaneous drainage which resulted in complete recovery within 84 days. No
complications were encountered. At present, the function and ultrasonographic appearance of the
pancreas are normal. The authors discuss the published reports on percutaneous drainage of
pancreatic pseudocysts.
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