EMERGENCY PANCREATICODUODENECTOMY IN NON-TRAUMATIC PATIENTS: A CASE REPORT AT MILITARY HOSPITAL 175

Nguyễn Văn Quỳnh1, Nguyễn Văn Mạnh1, Lê Trung Hiếu2,
1 Đơn vị Phẫu thuật Gan - Mật - Tụy, Khoa Ngoại bụng, Bệnh viện Quân y 175
2 Trung tâm Ghép tạng, Bệnh viện Trung ương Quân đội 108

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Abstract

Pancreaticoduodenectomy is a difficult and complicated surgery with high risks of postoperative complications. Emergency pancreaticoduodenectomy in non-traumatic patients is performed in cases of complications of tumors around the ampulla of Vater such as obstruction, bleeding… or complications of ERCP. Our clinical case is a 47-year-old female patient with no history of chronic diseases, admitted to the hospital with hemorrhagic shock due to upper gastrointestinal bleeding from a tumor in the D2 colon. The patient was transfused, resuscitated, and underwent emergency pancreaticoduodenectomy in an unstable hemodynamic condition. The patient was stable postoperatively and discharged after 8 days. Through this case, we see that emergency pancreaticoduodenectomy in non-traumatic patients is feasible in selected cases.

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References

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