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Related Concept Videos

Acute Pancreatitis II: Pathophysiology01:21

Acute Pancreatitis II: Pathophysiology

The pathophysiology of acute pancreatitis centers on injury to pancreatic acinar cells, which initiates a cascade of harmful intracellular events.This injury leads to premature activation of trypsinogen to trypsin in the pancreas. Trypsin then activates other digestive enzymes, such as chymotrypsin, elastase, and phospholipase A2, which begin breaking down pancreatic tissue. The resulting autodigestion causes local inflammation, tissue swelling, hemorrhage, and fat necrosis.Injured acinar cells...
Acute Pancreatitis I: Introduction01:25

Acute Pancreatitis I: Introduction

Acute pancreatitis is the sudden inflammation of the pancreas caused by the early activation of digestive enzymes, leading to the autodigestion of pancreatic tissue. This results in local inflammation and, in severe cases, systemic complications.EtiologyUnderstanding the underlying causes is crucial, as identifying the etiology guides treatment and anticipates complications. Acute pancreatitis can be triggered by various factors, typically grouped into the following clinical categories.Biliary...
Acute Pancreatitis I: Introduction01:27

Acute Pancreatitis I: Introduction

Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Chronic Pancreatitis I: Introduction01:25

Chronic Pancreatitis I: Introduction

Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80% of...
Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...

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Updated: Jun 16, 2026

Laparoscopic Pancreatoduodenectomy for Pancreatic Cancer Using In-Situ No-Touch Isolation Technique
08:12

Laparoscopic Pancreatoduodenectomy for Pancreatic Cancer Using In-Situ No-Touch Isolation Technique

Published on: February 2, 2022

Pancreatic transection due to blunt trauma.

Amal Ankouz1, Hicham Elbouhadouti, Jihane Lamrani

  • 1Department of General Surgery, UH Hassan II of Fez, Morocco.

Journal of Emergencies, Trauma, and Shock
|February 19, 2010
PubMed
Summary

Blunt pancreatic trauma is rare but serious. Early diagnosis and surgical intervention are crucial for managing pancreatic fractures and preventing complications like pseudocysts.

Keywords:
Pancreaspseudocysttransectiontrauma

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Area of Science:

  • Trauma Surgery
  • Surgical Gastroenterology
  • Abdominal Imaging

Background:

  • Blunt pancreatic injuries are infrequent and challenging to diagnose due to unreliable physical signs and laboratory markers.
  • Missed diagnoses of pancreatic trauma can lead to severe clinical complications.
  • Isolated pancreatic injuries are particularly uncommon.

Observation:

  • A case report details a 28-year-old female patient with blunt abdominal trauma.
  • Computed tomography (CT) imaging identified a fracture in the pancreatic tail.
  • The pancreatic injury was complicated by the formation of a pseudocyst.

Findings:

  • Surgical management of the pancreatic fracture and pseudocyst resulted in a positive patient outcome.
  • The case highlights the importance of considering pancreatic injuries in blunt abdominal trauma evaluations.
  • Conservative management requires diligent clinical, radiological, and laboratory monitoring for resolution.

Implications:

  • This case underscores the necessity of including pancreatic trauma in the differential diagnosis for patients with blunt abdominal injuries.
  • Clinicians must maintain a high index of suspicion for pancreatic injuries, even in the absence of clear initial indicators.
  • Continuous monitoring is essential for patients managed non-operatively to ensure complete resolution of pancreatic injuries.