Fonseca AZ, Jr MAFR, Contrucci O, Pompeo A, Orsetti A, Neto HA. Spleen preserving distal pancreatectomy in an isolated blunt pancreatic trauma. World J Gastrointest Surg 2011; 3(9): 138-141 [PMID: 22007283 DOI: 10.4240/wjgs.v3.i9.138]
Corresponding Author of This Article
Alexandre Zanchenko Fonseca, MD, Department of General Surgery, University of Santo Amaro, Rua Rita Joana de Souza, 42 - Campo Belo, São Paulo-SP, CEP 04601-060, Brazil. alexandre.fonseca@einstein.br
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Share the Article
Fonseca AZ, Jr MAFR, Contrucci O, Pompeo A, Orsetti A, Neto HA. Spleen preserving distal pancreatectomy in an isolated blunt pancreatic trauma. World J Gastrointest Surg 2011; 3(9): 138-141 [PMID: 22007283 DOI: 10.4240/wjgs.v3.i9.138]
Alexandre Zanchenko Fonseca, Marcelo Augusto Fontenelle Ribeiro Jr, Orlando Contrucci, Alexandre Pompeo, Adriana Orsetti, Herico Arsie Neto, Department of General Surgery, University of Santo Amaro, São Paulo-SP, CEP 04601-060, Brazil
Author contributions: Fonseca AZ, Pompeo A, Ribeiro Jr MAF and Orsetti A performed research and wrote the paper; Fonseca AZ, Neto HA, Contrucci O and Ribeiro Jr MAF operated on the patient.
Correspondence to: Alexandre Zanchenko Fonseca, MD, Department of General Surgery, University of Santo Amaro, Rua Rita Joana de Souza, 42 - Campo Belo, São Paulo-SP, CEP 04601-060, Brazil. alexandre.fonseca@einstein.br
Telephone: +55-11-50446235 Fax: +55-11-32846892
Received: November 24, 2010 Revised: July 26, 2011 Accepted: August 5, 2011 Published online: September 27, 2011
Abstract
Blunt isolated pancreatic trauma is uncommon, accounting for 1%-4% of high impact abdominal injuries. In addition, its diagnosis can be difficult; physical signs may be poor and laboratory findings nonspecific, resulting in delayed treatment. Preserving the spleen during distal pancreatectomy (DP) is controversial. One of the spleen’s functions regards immunity; complications following splenectomy include leukocytosis, thrombocytosis, overwhelming post splenectomy sepsis and some degree of immunodeficiency. This is why many authors favor its preservation. We describe a case of a young man with an isolated pancreatic trauma due to a blunt abdominal trauma with a delayed presentation who was treated with spleen-preserving DP and we discuss the value of this procedure with reference to the literature.
