AI Article Synopsis

  • * Diagnosing pancreatic injuries is challenging due to their hidden location and the potential for severe complications from surrounding structures.
  • * A specific case from Civil Hospital, Hyderabad, highlights a patient with a firearm injury who developed PUF due to undiagnosed pancreatic duct damage, ultimately requiring nephrostomy and pancreatic duct stenting for treatment.

Article Abstract

Pancreaticoureteric Fistula (PUF) is a very rare complication secondary to penetrating abdominal trauma involving the ureter and pancreatic parenchyma. Pancreatic injuries carry h igh morbidity due to the involvem ent of surrounding structures and are d ifficult to diagnose due to thei r retroperitoneal location. A case of a patient is reported at Civil Hospital, Hyderabad who presented with a history of firearm injury and missed pancreatic duct involvement on initial exploration that eventually led to the development of Pan creaticoureteric Fistula. He was managed v ia p erc ut aneous nep hrostomy ( PCN ) for the right ureteric injury and pancreatic duct (PD) stenting was done for distal main pancreatic duct injury (MPD).

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http://dx.doi.org/10.47391/JPMA.9936DOI Listing

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