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. firstname.lastname@example.org
Article-Type of This Article
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/
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. email@example.com
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
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.