Related Experiment Video

Updated: May 9, 2026

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess
03:42

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess

Published on: March 15, 2024

Traumatic pancreatic injury--an elusive diagnosis: experience from a developing country urban trauma referral centre

Ayaz Ahmed Memon1, Hasnain Zafar, Rushna Raza

  • 1Department of General Surgery, Aga Khan University Hospital, Karachi. memonayaz2002@yahoo.com

JPMA. the Journal of the Pakistan Medical Association
|August 3, 2013
PubMed

Insights

Pancreatic trauma is rare in adult abdominal injuries, affecting 1.5% of patients. High complication (80%) and mortality (23.3%) rates underscore the need for tailored surgical management based on injury severity and associated conditions.

Area of Science:

  • Trauma Surgery
  • Surgical Gastroenterology
  • Abdominal Trauma

Background:

  • Pancreatic injuries resulting from trauma present significant management challenges.
  • Understanding the epidemiology and outcomes of pancreatic trauma is crucial for improving patient care.

Purpose of the Study:

  • To determine the frequency of pancreatic injury in trauma patients.
  • To review injury mechanisms, management strategies, complications, and mortality rates associated with pancreatic trauma.

Main Methods:

  • Retrospective study of adult patients (≥18 years) with pancreatic injury due to trauma.
  • Exclusion of iatrogenic injuries.
  • Injury severity assessed using the Injury Severity Score and graded by the American Association for the Surgery of Trauma scale.
  • Statistical analysis performed using SPSS 17.

Main Results:

  • Pancreatic injury accounted for 1.5% of adult abdominal trauma cases (30 patients).
  • The majority of patients were male (93.3%), with a mean age of 28 years.
  • High rates of complications (80%) and in-hospital mortality (23.3%) were observed.
  • A significant proportion (63%) of patients were transferred from other facilities, with a mean hospital stay of 16.4 days.

Conclusions:

  • Surgical management of pancreatic trauma should be individualized based on injury characteristics and patient factors.
  • Associated life-threatening injuries are the primary determinant of mortality in pancreatic trauma patients.
Abstract

More Related Videos

Technical Detail for Robot Assisted Pancreaticoduodenectomy14:45

Technical Detail for Robot Assisted Pancreaticoduodenectomy

Published on: September 28, 2019

Related Concept Videos

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...
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:
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...
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...