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Pancreatic injury. CT

Timothy Hardcastle Hardcastle at ukzn.ac.za
Tue Apr 5 08:37:33 BST 2016

Hi Martha

I do not see a Grade 3 pancreas injury - there is a probable grade 4, the treatment is DRAIN. The peri-hepatic abscess I would therefore pigtail-drain and simply watch the output from the fistulas that seem to be well-controlled for now. I retract my earlier suggestion to do open surgery. I may do a "gastrograffin meal and follow-through" to check distal patency and extent of any bowel leaks.

Dr Timothy Hardcastle
MB,ChB(Stell); M.Med(Chir)(Stell); PhD, FCS(SA), Trauma Surgery(HPCSA)
Head: UKZN Trauma Surgery Training Unit
Deputy Director: IALCH Trauma Service and Trauma ICU
Hardcastle at ukzn.ac.za / timothyhar at ialch.co.za
Mobile +27824681615
Postal: PostNet 27, Private Bag X05, MALVERN, 4055
Durban, South Africa

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Martha Quiodettis
Sent: 05 April 2016 08:52
To: trauma-list at trauma.org
Subject: Pancreatic injury. CT

Some pictures of the CT. Not the best quality since were taken from my phone. 

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