Management of a pancreatic duct injury with an endoscopically placed stent.

摘要: A 17-YEAR-OLD WOMAN was a belted, front-seat passenger in head-on motor vehicle collision. On arrival at local medical center, the patient awake and alert with stable vital signs complaining predominantly of abdominal flank pain. Advanced Trauma Life Support protocol followed. Laboratory evaluations were normal exception serum amylase greater than 1500 U/L (normal 28–100) lipase 3000 16–63). An urgent computed tomography (CT) scan abdomen pelvis revealed contusion left lateral segment liver fracture junction body tail pancreas just to spine. There no evidence pancreatic necrosis. The kept non per OS (nothing bymouth) showed rapid normalization her hyperamylasemia hyperlipasemia during next few days. She discharged on hospital day 4, free symptoms tolerating regular diet.