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Traumatiske pancreaslæsioner

Amalie Felicia Torrild Schmiegelow, Jan Henrik Storkholm & Stefan Kobbelgaard Burgdorf
Kirurgisk Afdeling, Rigshospitalet

Ugeskr Læger 2019;181:V06180442

Ugeskr Læger 2019;181:V06180442
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Amalie Felicia Torrild Schmiegelow, Jan Henrik Storkholm & Stefan Kobbelgaard Burgdorf:

Traumatic pancreatic lesions

Ugeskr Læger 2019;181:V06180442

In this review, the recommendations for treating pancreatic traumas are summarised. A pancreatic trauma is rare but serious. Initially, the symptoms can be subtle and may easily be overlooked by concurrent injuries such as internal bleeding. Delayed detection of pancreatic lesions is associated with increased mortality and morbidity. There is a tendency towards a more conservative approach in the treatment of pancreatic lesions, including injuries involving the pancreatic duct. In the haemodynamically instable patient damage control surgery is preferred, with closed suction drainage of the pancreas and later definitive surgery. We propose contact to a hepato-pancreato-biliary facility in case of any suspicion of a pancreatic injury.

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