In our series, there was significant morbidity of missed pancreatic injury. There was no mortality.Ĭonclusion: Pancreatic injury may be missed in patients who remain hemodynamically stable with minimal clinical symptoms after abdominal trauma, especially if screened only by an ultrasound. Three patients required pancreatic duct stenting for pancreatic fistula. Eleven (35.4%) patients needed readmissions to manage recurrent pancreatitis, intra-abdominal abscess and pancreatic fistula. Seven (22.5%) patients were managed conservatively, seventeen (54.8%) underwent percutaneous drainage of intra-abdominal collections, seven (22.5%) underwent endoscopic or surgical drainage procedure for symptomatic pseudocyst. On repeat imaging, 18 (58.1%) patients had high grade pancreatic injuries including complete transection or pancreatic duct injury. A delayed diagnosis of pancreatic injury was made at a mean of 28 (4 to 60) days after trauma when patients developed abdominal pain (31), distension (18), fever (10) or vomiting (8). All patients were hemodynamically stable following trauma and most (21) were initially assessed only by an ultrasound. Results: A total of 31 patients with missed pancreatic injury were identified. Material and Methods: We retrospectively (2009-2019) analyzed the details and outcome of patients who underwent conservative management of blunt abdominal trauma, where the diagnosis of pancreatic injury was missed for at least 72 hours following trauma. This study aimed to analyze the management and outcomes of patients in whom the pancreatic injury was missed during the initial evaluation of blunt abdominal trauma. Objective: Pancreas is a less commonly injured organ in blunt abdominal trauma. Vivek Gupta, Vikram Singh Sodha, Nitin Kumar, Vishal Gupta, Ravi Pate, Abhijit Chandraĭivision of Surgical Gastroenterology, King George’s Medical University, Lucknow, India Abstract If you have other questions related to this change, please visit our Hold Mail FAQs or feel free to Contact Us.Missed pancreatic injury in patients undergoing conservative management of blunt abdominal trauma: Causes, sequelae and management Sign Up for Informed Delivery Visit Informed Delivery FAQs Need Help? Once enrolled in Informed Delivery, you'll be able to hold your mail plus see previews of incoming letter-sized mail, check the delivery status of packages, and much more. If you've already signed up for Informed Delivery and completed the identity verification process, you will not be required to complete this step again. During enrollment, you can verify your identity online in one seamless process. If eligible, you will have the opportunity to create or sign in to your account and sign up for the free USPS Informed Delivery® feature. Identity Verification through Informed Delivery Once your identity has been verified successfully, you won't have to complete this step again for your current address.įor more details, visit USPS Hold Mail FAQs.Go to USPS Hold Mail and follow the steps to verify your identity. Here's how to submit your next USPS Hold Mail request: To provide you with greater security, the USPS Hold Mail process requires you to create or sign in to your account and verify your identity before you submit an online request to hold your mail. USPS Hold Mail Customer Verification Improved Online Security
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