Post-Traumatic Necrohemorragic Pancreatitis Caused by an Air Gun


Penetrating abdominal trauma is the main cause of pancreatic lesions and delay in diagnosis or treatment can increase morbimortality. We present a case of acute necrohemorrhagic pancreatitis (ANHP) secondary to airgun injury associated with pulmonary embolism caused by the projectile in a 36 year old man. He underwent urgent surgery, appreciating pancreatic contusion but not visualizing the projectile, located by CT scan 3mm from the inferior vena cava. The patient underwent further surgery 48 hours later for necrosectomy and the insertion of an irrigation tube, due to ANHP after the migration of the projectile into the lung. This case underlines the clinical relevance of pancreatic lesion in patients with a penetrating abdominal trauma, the diagnostic difficulty and the surgical strategy, as well as the repercussions of the migration of a foreign body through the blood stream, crossing the right heart chambers and becoming lodged in the lung.

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R. López, M. Canosa, E. Porto, M. Ali, C. Gómez and J. Val, "Post-Traumatic Necrohemorragic Pancreatitis Caused by an Air Gun," Surgical Science, Vol. 2 No. 9, 2011, pp. 459-462. doi: 10.4236/ss.2011.29101.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] J. A. Asensio, J. C. García, P. Petrone, G. Roldán, M. Pardo, W. M. García, et al., “Traumatismos Pancreáticos: Lesiones Complejas, Tratamientos Difíciles,” Circulation Research, Vol. 74, No. 3, 2003, pp. 124-133.
[2] G. L. Baiocchi, G. A. M. Tiberio, F. Gheza, M. Gardani, M. Cantú, N. Portolani, et al., “Pancreatic Transection from Blunt Trauma Associated with Vascular and Biliary Lesions: A Case Report,” World Journal of Gastroenterology, Vol. 14, No. 30, 2008, pp. 4826-4829. doi:10.3748/wjg.14.4826
[3] S. Y. Hwang and Y. C. Choi, “Prognostic Determinants in Patients with Traumatic Pancreatic Injuries,” Journal of Korean Medical Science, Vol. 23, No. 1, 2008, pp. 126-130. doi:10.3346/jkms.2008.23.1.126
[4] K. Al-Ahmadi and N. Ahmed, “Outcomes after Pancreatic Trauma: Experience at a Single Institution,” Canadian Journal of Surgery, Vol. 51, No. 2, 2008, pp. 118-124.
[5] R. Espinal, M. Irias, J. Andino and M. Galo, “Lesiones de Páncreas. Análisis de 38 Casos,” Revista Cubana de Cirugía, Vol. 41, No. 2, 2002, pp. 93-97.
[6] J. M. Jover and F. López-Espadas, “Trumatismos Pancreático-Duodenales,” Guías Clínicas de Asociación Espanola de Cirujanos, Cirugía del Paciente Politraumatizado, 2nd Edition, Madrid, 2001, pp. 219-230.
[7] D. Demetriades, A. Salim and C. V. R. Brown, “Pancreatic Injury,” In: L. H. Blumgart, Ed., Surgery of the Liver, Biliary Tract and Pancreas, 4th Edition, Saunders Elsevier, Philadelphia, 2007, pp. 1049-1056.
[8] L. Sabater Ortí, “Traumatismo Pancreático Duodenal,” Manual Asociación Espa?ola de Cirugía, 2nd Edition, Editorial Médica Panamericana, Madrid, 2010 Cap.109, pp. 1135-1143.
[9] A. Ca?as, L. L. Almodóvar, P. P. Lima and J. A. Buendía, “Perdigón Cardiaco en el Septo Interventricular,” Revista Espa?ola de Cardiología, Vol. 60, No. 9, 2007, pp. 992-997.
[10] A. Reusmann, M. Barrenechea and M. Cadario, “Cuerpos Extra?os Intraparenquimatosos de Pulmón. Cirugía Video Asistida,” Rev de Cir Infantil, Vol. 19, No. 1, 2009, pp. 180-181.

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