Symptoma

Pancreatic Injury

Injury of Pancreas

In most cases, patients present to the emergency department with inaccurate or misleading histories; some give no history of trauma, which may delay recognition of serious abdominal injuries. [ncbi.nlm.nih.gov]

  • Localized Pain

    Injury to the abdominal wall usually produces localized pain, whereas visceral injury can initially present as localized pain, but the pain may generalize if peritoneal involvement occurs [ 29 ]. [journals.lww.com]

  • Epigastric Pain

    Diagnosis requires high level of suspicion, usually initial symptoms are non specific and vague, presents with mid epigastric pain or back pain following trauma. [omicsonline.org]

    Patients with early symptoms may report brief post-traumatic epigastric pain that has completely subsided. Pain may be absent for several days, even in the case of complete transaction with avulsion of the pancreatic duct. [med-ed.virginia.edu]

    • Dull epigastric pain or back pain – due to contained fracture of the spleen with retroperitoneal hematoma or leak. • severe peritoneal irritation 9. [slideshare.net]

    Pancreatic cysts are regarded symptomatic when there is hyperamylasemia, recent-onset diabetes, severe epigastric pain, weight loss, steatorrhea, or jaundice. [radiologyassistant.nl]

    Rarely, a contained fracture of the spleen with retroperitoneal hematoma or leak manifests as dull epigastric pain or back pain, but the more common scenario is for patients to exhibit severe peritoneal irritation and a positive abdominal examination [emedicine.medscape.com]

  • Pancreatic Pain

    Outcome measures evaluated were the incidence of acute pancreatitis, hyperamylasemia, and pancreatic pain. [ncbi.nlm.nih.gov]

    In addition to all those you mentioned, we also partner with anesthesiologists who treat both surgical and chronic pancreatic pain, and gastroenterologists who specialize in pancreatic imaging techniques. [ucsfhealth.org]

  • Alteration of Consciousness

    If the athlete demonstrates signs of hypovolemia (tachycardia, hypotension, alteration of consciousness) before transport, fluid resuscitation should be started and the athlete should be placed in the modified Trendelenberg position to direct blood flow [journals.lww.com]

Outline • Introduction • Relevant anatomy • Epidemiology • Etiology • Presentation • Indicators of injury • Workup • Staging • Treatment 3. [slideshare.net]

  • Ground Glass Appearance

    Ann Surg, May 1978 AXR: Fracture lumbar spine, retroperitoneal air bubbles along psoas / kidney; displacement of stomach and T colon, generalized ground glass appearance Limitation of PDL fluid to lesser sac Pancreatic lesion missed on USG due to retroperitoneal [slideplayer.com]

ERCP was first reported as a diagnostic tool in the settings of pancreatic injury but has in recent years been used increasingly as a treatment option with promising results. [ncbi.nlm.nih.gov]

CONCLUSIONS: For a good prognosis, the first operation time after injury should be decreased and surgical technique should be simplified by damage control surgery to reduce complications as well as to prevent exacerbation of the general condition in patients [ncbi.nlm.nih.gov]

Pancreas Trauma Prognosis The outlook of pancreatic trauma depends on the severity of the injury and how soon medical attention is sought. Minor injury usually has a good outcome. [healthhype.com]

Consequently, the level of injury also determines both the treatment and prognosis ( 31 ). [tidsskriftet.no]

Therefore, isolated pancreatic injury would be expected to have low morbidity and mortality rather than associated injury with other organs; however, there are few reports related to its prognosis due to the low incidence.( 5, 6 ) Recently, Krige et al [jtraumainj.org]

Severe injuries have poor prognosis due to frequent association with other injuries [3]. Complications of pancreatic injury are bleeding, pancreatic abscess, recurrent pancreatitis, fistula formation and pancreatic pseudocysts. [ijri.org]

These injuries can result from atraumatic etiologies and blunt abdominal trauma. Atraumatic pancreatic injuries in the athlete are diagnosed and treated in a similar manner to the nonathletic patient. [ncbi.nlm.nih.gov]

NZ Med J 1974, 79 :1068–1071. 13.• Jackson WD: Pancreatitis: etiology, diagnosis, and management. Curr Opin Pediatr 2001, 13 :447–451. A review article concerning the etiology, diagnosis, and management of pediatric pancreatitis. 14. [journals.lww.com]

His case demonstrates several possible etiologies for VAPAs, including unrecognized injury from penetrating trauma, instrumentation of the abdomen during exploration, or sequelae of pancreatic injury and leak. [oatext.com]

Outline • Introduction • Relevant anatomy • Epidemiology • Etiology • Presentation • Indicators of injury • Workup • Staging • Treatment 3. [slideshare.net]

Pancreatic fistulas: etiology, consequences and treatment. Gastroenterologist 4: 238 - 244. Google Scholar Medline Kudsk KA, Temizer D, Ellison EC, Cloutier CT, Buckley DC, Carey LC. 1986. [doi.org]

Sports specific epidemiologic data collection and analysis are important elements in the development of evidence-based interventions. [ncbi.nlm.nih.gov]

The use of multiofactorial epidemiologic frameworks [ 45–47,48• ] can lead to an improved sports-specific injury analysis. [journals.lww.com]

Outline • Introduction • Relevant anatomy • Epidemiology • Etiology • Presentation • Indicators of injury • Workup • Staging • Treatment 3. [slideshare.net]

“We need smart screening and individualized treatments based on family history, epidemiology, biomarkers and genetics.” [hopkinsmedicine.org]

BACKGROUND: Premature activation of pancreatic digestive enzymes and profound changes of levels of certain biochemical compounds have been implicated in the pathophysiology of acute pancreatitis. [ncbi.nlm.nih.gov]

To the Editor: The article by Fernández-del Castillo et al. implicating calcium administration in the development of pancreatic cellular injury (Aug. 8 issue) 1 was of interest but was misleading on pathophysiologic and biostatistical grounds, since defining [nejm.org]

Unlike others on this topic, this text demonstrates how the endoscope incorporates pathophysiology, diagnostic, and treatment modalities into endoscopic practice. [books.google.com]

Pathophysiology Unlike the spleen, few data suggest that preexisting primary or secondary diseases of the pancreas result in a higher risk of injury or a higher mortality rate when the pancreas is injured. [emedicine.medscape.com]

BACKGROUND: The identification of therapeutic agents that can prevent the pancreatic injury after endoscopic retrograde cholangiopancreatography (ERCP) is of considerable importance. [ncbi.nlm.nih.gov]

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