[Injuries to the pancreas]. / Povrezhdeniia podzheludochnoi zhelezy.

ABSTRACT

The authors analysed 105 patients with traumatic damage of the pancreas in its closed (92) and open (13) injury. Isolated damages were encountered in 25, multiple in 67, and combined in 13 patients. Contusion of the gland was found in 73, injury to the parenchyma in 21, and parenchymal-duct injuries in 11 patients. The features of the clinical manifestations are discussed according to the time, type, and severity of the trauma and the efficacy of various methods of examination in early diagnosis is evaluated. The therapeutic tactics is discussed according to the type and severity of the damage, and the results of nonoperative (7) and various surgical treatment (98) are shown. The complications and the causes of fatal outcomes are analysed. Traumatic pancreatitis was the most frequent complication, its destructive forms were encountered in 24.5% of cases; pancreonecrosis occurred in 2.7% of patients with mild trauma of the gland. The mortality rate of progressive forms of pancreonecrosis was 12.24%.