Wednesday, September 5, 2012

CASES: DISTATL PANCREATECTOMIES

1. CASE: young male with chronic calcific pancreatitis with mass in distal body of pancreas..with recurrent episodes of acute pancreatitis...

on evaluation found to have multiple stones in head of pancreas with dilated duct 12mm and inhomogenous mass and distorted pancreas in distal tail with multiple dilated side branching..

SURGERY: Distal pancreatectomy  with splenectomy and PANCREATICO JEJUNOSTOMY





Bx: benign chronic inflamation of pancreas..pt was discharged on day 10.


case 2: 13 yrs old girl with h/o blunt trauma abdomen..
detected to have totally transected pancreas at body tail junction
presented within 12 hrs of injury...was explained the need of surgical intervention..unfortunately..did not got ready...but presented again 48 hrs later with distension and vomiting, tachycardia, hypotension...

fortunately spleen preserving distal pancreatectomy was done on day 3 of trauma

IMAGES: 



patient discharged home uneventfully  on day 6.