Fig. 1. Abdominal CT scan on arrival. (A) Blue arrow indicates laceration of the distal pancreas and red arrow indicates extravasation around the splenic artery. (B) The red arrow indicates balloon inflation at Zone I.
Fig. 2. Angiography. (A) Extravasation from the splenic artery (red arrow). (B) Coil embolization (red arrow)
Fig. 3. Operative findings. (A) Distal margin after distal pancreatectomy using the stapler (black arrow). (B) Distal pancreas with the spleen.
References
- Kang WS, Park YC, Jo YG, Kim JC, "Pancreatic fistula and mortality after surgical management of pancreatic trauma: analysis of 81 consecutive patients during 11 years at a Korean trauma center", Ann Surg Treat Res, Vol. 95, No. 1, pp. 29-36, 2018. DOI: https://dx.doi.org/10.4174/astr.2018.95.1.29
- Scollay JM, Yip VS, Garden OJ, Parks RW, "A population-based study of pancreatic trauma in Scotland", World J Surg, Vol. 30, No. 12, pp. 2136-2141, 2006. DOI: https://dx.doi.org/10.1007/s00268-006-0039-z
- Akhrass R, Yaffe MB, Brandt CP, Reigle M, Fallon WF, Jr., Malangoni MA, "Pancreatic trauma: a ten-year multi-institutional experience", Am Surg, Vol. 63, No. 7, pp. 598-604, 1997.
- Ho VP, Patel NJ, Bokhari F, Madbak FG, Hambley JE, Yon JR, Robinson BR, Nagy K, Armen SB, Kingsley S, Gupta S, Starr FL, Moore HR, 3rd, Oliphant UJ, Haut ER, Como JJ, "Management of adult pancreatic injuries: A practice management guideline from the Eastern Association for the Surgery of Trauma", J Trauma Acute Care Surg, Vol. 82, No. 1, pp. 185-199, 2017. DOI: https://dx.doi.org/10.1097/ta.0000000000001300
- Lee KJ, Kwon J, Kim J, Jung K, "Management of blunt pancreatic injury by applying the principles of damage control surgery: experience at a single institution", Hepatogastroenterology, Vol. 59, No. 118, pp. 1970-1975, 2012. DOI: https://dx.doi.org/10.5754/hge11808
- DuBose JJ, Scalea TM, Brenner M, Skiada D, Inaba K, Cannon J, Moore L, Holcomb J, Turay D, Arbabi CN, Kirkpatrick A, Xiao J, Skarupa D, Poulin N, "The AAST prospective Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) registry: Data on contemporary utilization and outcomes of aortic occlusion and resuscitative balloon occlusion of the aorta (REBOA)", J Trauma Acute Care Surg, Vol. 81, No. 3, pp. 409-419, 2016. DOI: https://dx.doi.org/10.1097/ta.0000000000001079
- Stannard A, Eliason JL, Rasmussen TE, "Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock", J Trauma, Vol. 71, No. 6, pp. 1869-1872, 2011. DOI: https://dx.doi.org/10.1097/TA.0b013e31823fe90c
- Hughes CW, "Use of an intra-aortic balloon catheter tamponade for controlling intra-abdominal hemorrhage in man", Surgery, Vol. 36, No. 1, pp. 65-68, 1954.
- Gupta BK, Khaneja SC, Flores L, Eastlick L, Longmore W, Shaftan GW, "The role of intra-aortic balloon occlusion in penetrating abdominal trauma", J Trauma, Vol. 29, No. 6, pp. 861-865, 1989. https://doi.org/10.1097/00005373-198906000-00026
- Rasmussen TE, Clouse WD, Peck MA, Bowser AN, Eliason JL, Cox MW, Woodward EB, Jones WT, Jenkins DH, "Development and implementation of endovascular capabilities in wartime", J Trauma, Vol. 64, No. 5, pp. 1169-1176; discussion 1176, 2008. DOI: https://dx.doi.org/10.1097/TA.0b013e31816b6564
- Inoue J, Shiraishi A, Yoshiyuki A, Haruta K, Matsui H, Otomo Y, "Resuscitative endovascular balloon occlusion of the aorta might be dangerous in patients with severe torso trauma: A propensity score analysis", J Trauma Acute Care Surg, Vol. 80, No. 4, pp. 559-566; discussion 566-557, 2016. DOI: https://dx.doi.org/10.1097/ta.0000000000000968
- Pieper A, Thony F, Brun J, Rodiere M, Boussat B, Arvieux C, Tonetti J, Payen JF, Bouzat P, "Resuscitative endovascular balloon occlusion of the aorta for pelvic blunt trauma and life-threatening hemorrhage: A 20-year experience in a Level I trauma center", J Trauma Acute Care Surg, Vol. 84, No. 3, pp. 449-453, 2018. DOI: https://dx.doi.org/10.1097/ta.0000000000001794
- Shin HK, Han H-S, Lee T, Park D-J, Jung K, Kim K, "Resuscitative Endovascular Balloon Occlusion of the Aorta in a Trauma Patient with Hypovolemic Shock", The Korean Journal of Critical Care Medicine, Vol. 30, No. 2, pp. 115-118, 2015. DOI: http://dx.doi.org/10.4266/kjccm.2015.30.2.115
- Krige JEJ, Kotze UK, Hameed M, Nicol AJ, Navsaria PH, "Pancreatic injuries after blunt abdominal trauma: an analysis of 110 patients treated at a level 1 trauma centre", South African journal of surgery, Vol. 49, No. 2, pp. 584 passim, 2011.
- Krige JE, Navsaria PH, Nicol AJ, "Damage control laparotomy and delayed pancreatoduodenectomy for complex combined pancreatoduodenal and venous injuries", Eur J Trauma Emerg Surg, Vol. 42, No. 2, pp. 225-230, 2016. DOI: https://dx.doi.org/10.1007/s00068-015-0525-9
- Krige JEJ, Kotze UK, Setshedi M, Nicol AJ, Navsaria PH, "Management of pancreatic injuries during damage control surgery: an observational outcomes analysis of 79 patients treated at an academic Level 1 trauma centre", Eur J Trauma Emerg Surg, Vol. 43, No. 3, pp. 411-420, 2017. DOI: https://dx.doi.org/10.1007/s00068-016-0657-6
- Diener MK, Seiler CM, Rossion I, Kleeff J, Glanemann M, Butturini G, Tomazic A, Bruns CJ, Busch OR, Farkas S, Belyaev O, Neoptolemos JP, Halloran C, Keck T, Niedergethmann M, Gellert K, Witzigmann H, Kollmar O, Langer P, Steger U, Neudecker J, Berrevoet F, Ganzera S, Heiss MM, Luntz SP, Bruckner T, Kieser M, Buchler MW, "Efficacy of stapler versus hand-sewn closure after distal pancreatectomy (DISPACT): a randomised, controlled multicentre trial", Lancet, Vol. 377, No. 9776, pp. 1514-1522, 2011. DOI: https://dx.doi.org/10.1016/s0140-6736(11)60237-7