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Introduction: Pancreatic trauma is a rare type of abdominal injury, representing only 0.3 % of pediatric trauma cases. This condition may progress to chronic pancreatitis and result in multiple complications following damage to the pancreatic duct.

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Article Synopsis
  • A rare case report discusses a 20-year-old Iranian woman who experienced a ruptured right common iliac aneurysm one year after having deep vein thrombosis (DVT), which was treated with rivaroxaban.
  • The surgical repair was successful, but she faced complications, including abdominal pain, small bowel obstruction, and a large pancreatic pseudocyst, despite ongoing anticoagulant therapy.
  • The report highlights the unusual link between DVT and vascular aneurysms and emphasizes the need to consider potential complications arising from aneurysms when treating DVT in patients.
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According to the American Association for the Surgery of Trauma, distal pancreatectomy or pancreatic duct drainage is recommended for grade III traumatic pancreatic injuries. We report a case of traumatic pancreatic injury involving the main pancreatic duct in which this method failed to drain fluid from the area distal to the injury site. A 19-year-old woman presented with a bruised upper left abdomen after a bicycle fall.

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[Lacrimal duct infections].

J Fr Ophtalmol

December 2024

Service d'ophtalmologie, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France.

In addition to being a drainage system, the lacrimal ducts actively defend the eye through the action of the lacrimal pump, the presence of resident flora (lacriome) and the mucosa-associated immune tissue. Infection occurs when mucosal immune functions are overwhelmed. Lacrimal infection is a vicious circle, in which infection leads to inflammation and post-inflammatory sequelae, themselves a source of occlusion and stagnation, which in turn encourages infection.

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Article Synopsis
  • A multicenter study involving 13 pediatric trauma centers examined the effects of a standardized non-operative management (NOM) approach for children with blunt traumatic pancreatic laceration and ductal injury between 2018-2022.
  • Results showed that most patients recovered quickly with a low-fat diet starting after a median of 4 days, and hospital stays averaging 8 days, while complications like cyst development were significantly reduced compared to a historical variable management cohort.
  • The findings suggest that using a consistent NOM protocol can improve patient outcomes and that pancreatic ascites at presentation might indicate a higher risk of developing pseudocysts in these cases.
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