The Management of Pancreatic Trauma - A Continuous Challenge.

The aim of this analysis was to assess the factors that influence the severity of pancreatic trauma cases, also underlining the importance of early and accurate diagnosis and proper management of each case. This study is a retrospective analysis of patients that were presented to the Clinical Emergency Hospital of Bucharest, Romania, in several periods of time: 1985-1990 (50 patients); 1990-1999 (102 patients); 2000-2005 (56 patients); 2012-2019 (48 patients). The mean age was around 40 years old, with predominance of male incidence in all the groups and traffic accidents (blunt trauma) as the main cause of injury.

The role of angiography and embolization in blunt splenic trauma.

The spleen is one of the most vulnerable organs in the event of an abdominal trauma. Preservation of the spleen and of course its functions has been a continuing challenge familiar not only for trauma surgeons but also for all those for whom the integrity of this organ was a well-founded goal. Therefore nonoperative management (NOM) of spleen trauma injury has faced a continuous development, gradually becoming an option of healing by first intention among Trauma Centers.

Grade IV blunt splenic injury--the role of proximal angioembolization. A case report and review of literature.

The authors present a case of grade IV traumatic spleen rupture (AAST-OIS) and an Injury Severity Score of 21 and a Revised Trauma Score RTS=7.841, which was managed without surgery, but with proximal splenic angioembolization (SAE), with a positive outcome. Indications, types and side-effects of SAE are also discussed with regard to blunt spleen trauma and the benefits of SAE as non-operative treatment approach.

Non-operative management of splenic trauma.

The risk of overwhelming postsplenectomy infection (OPSI) prompted the evolution toward preservation of the injured spleen. Nonoperative management (NOM) of blunt injury to the spleen in adults has become the standard of care in hemodynamically stable patients. This modality of treatment began in the 1970's in paediatric patients.

Laparoscopic repair of post-traumatic diaphragmatic hernia: a case report.

In a large number of cases, post-traumatic diaphragmatic hernias (PTDH) are a consequence of occult diaphragmatic injuries associated with penetrating abdominal trauma. We present a case of a 26-year-old male patient who, 2 months prior to the current admission, sustained a non-penetrating stab wound to the left anterior chest below the nipple. Upon presentation the patient complained of epigastric pain radiated to the left shoulder, and nausea and vomiting.