Good luck

-– Original Message – From: Moshe S. To: Sent: Saturday, September 03, 2005 7:11 PM Subject: Another neglected blunt abd trauma Slava, In a fancy center I would have asked the GI guys to try and stent the duct, the radiologist to put a pigtail in the collection, give AB, give somatostatin and wait…it all may heal. But in your own center I would operate: distal pancreatectomy, take out the dead kidney and drain. At operation: I would first control the aorta at the hiatus…then empty the cyst…the release of tamponade and IAP my cause hypovolemia and bleeding from the renal or splenic (injured?) vessels. Cheers, Moshe

-– Original Message –

From: Moshe S.

To: <surginet@…>

Sent: Saturday, September 03, 2005 7:11 PM

Subject: Another neglected blunt abd trauma

Slava,