ﮔﺰارش ﯾﮏ ﻣﻮرد ﺗﺨﺮﯾﺐ ﺳﺮ ﭘﺎﻧﮑﺮاس و دﺋﻮدﻧﻮم ﻧﺎﺷﯽ از ﺗﺮوﻣﺎي ﻓﺮﻣﺎن دوﭼﺮﺧﻪ و ﻋﻤﻞ ﺟﺮاﺣﯽ وﯾﭙﻞ اورژاﻧﺲ در ﯾﮏ ﮐﻮدك 10 ﺳﺎﻟﻪ

Emergency Pancreaticcododenectomy after Abdominal Blunt Trauma by a Bike Handlebar in a 10-Year-Old Boy

ﭘﺎﻧﮑﺮاس ﺑﻪ ﺗﺮﺗﯿﺐ ﺑﻌﺪ از ﻃﺤﺎل، ﮐﺒﺪ و ﮐﻠﯿﻪﻫﺎ، ﭼﻬﺎرﻣﯿﻦ ﻋﻀﻮ ﺗﻮﭘﺮ داﺧﻞ ﺷﮑﻤﯽ آﺳﯿﺐﭘﺬﯾﺮ در ﺗﺮوﻣﺎي ﺷﮑﻤﯽ اﺳﺖ. در ﻫﺮ دو ﻧﻮع آﺳﯿﺐ ﻧﺎﻓﺬ و ﺑﻼﻧﺖ ﭘﺎﻧﮑﺮاﺳﯽ آﺳﯿﺐ دﯾﺪﮔﯽ ﻣﺠﺮاي اﺻﻠﯽ ﯾﮏ ﻋﺎﻣﻞ ﺗﻌﯿﯿﻦ ﮐﻨﻨﺪه ﺑﺮاي روش ﺟﺮاﺣﯽ اﺳﺖ. ﭘﺎﻧﮑﺮاﺗﯿﮑﻮدﺋﻮدﻧﮑﺘﻮﻣﯽ وﯾﭙﻞ زﻣﺎﻧﯽ اﻧﺠﺎم ﻣﯽﺷﻮد ﮐﻪ آﺳﯿﺐ ﻫﻤﺰﻣﺎن ﺳﺮ ﭘﺎﻧﮑﺮاس و دﺋﻮدﻧﻮم رخ دﻫﺪ و ﯾﮏ ﭼﺎﻟﺶ ﺑﺰرﮔﯽ ﺑﺮاي ﺟﺮاح ﺗﺮوﻣﺎ درآﺳﯿﺐ ﭘﺎﻧﮑﺮاس اﺳﺖ. در اﯾﻦ ﻣﻘﺎﻟﻪ ﺑﻪ ﮔﺰارش ﭘﺴﺮ ﺑﭽﻪ 10 ﺳﺎﻟﻪاي ﻣﯽﭘﺮدازﯾﻢ ﮐﻪ ﺑﻪ دﻧﺒﺎل ﺑﺮﺧﻮرد ﻓﺮﻣﺎن دوﭼﺮﺧﻪ ﺑﻪ ﻗﺪام ﺷﮑﻢ و آﺳﯿﺐ ﻫﻤﺰﻣﺎن ﻟﻪ ﮐﻨﻨﺪه ﭘﺎﻧﮑﺮاس و دﺋﻮدﻧﻮم ﺗﺤﺖ ﺟﺮاﺣﯽ وﯾﭙﻞ ﻗﺮارﮔﺮﻓﺖ.

Pancreatic injury is the fourth most common solid organ injury, following the spleen, liver, and kidneys. For both penetrating and blunt pancreatic injuries, the presence of main pancreatic ductal injury is the major determinant of surgical procedure. The complete pancreaticoduodenectomy is often the choice of treatment on the surgeon confronting for an injured pancreatic head particularly in the presence of concurrent duodenal injury and is the greatest challenge for trauma surgeon. A-10-year old boy refers to emergency department with the complaint of ongoing abdominal pain after hitting of a bike handlebar to his abdomen; He underwent laparotomy and whipple procedure.