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.
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.
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,
Cheers,
Moshe
PS: nice pics
PS: nice pics
PS: nice pics
-– Original Message –
From: Danny R.
To:< SURGINET@…>
Sent: Saturday, September 03, 2005 9:37 PM
Subject: Re: Another neglected blunt abd trauma
Luis – agree with that – also there is perfusion to the left kidney on CT scan. I would not rush.
Danny R., Israel.
-– Original Message –
-– Original Message –
From: Danny R.
From: Danny R.
To:< SURGINET@…>
To:< SURGINET@…>
Sent: Saturday, September 03, 2005 9:37 PM
Sent: Saturday, September 03, 2005 9:37 PM