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J Pak Med Assoc ; 74(3): 582-584, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38591304

ABSTRACT

Pancreaticoureteric Fistula (PUF) is a very rare complication secondary to penetrating abdominal trauma involving the ureter and pancreatic parenchyma. Pancreatic injuries carry h igh morbidity due to the involvem ent of surrounding structures and are d ifficult to diagnose due to thei r retroperitoneal location. A case of a patient is reported at Civil Hospital, Hyderabad who presented with a history of firearm injury and missed pancreatic duct involvement on initial exploration that eventually led to the development of Pan creaticoureteric Fistula. He was managed v ia p erc ut aneous nep hrostomy ( PCN ) for the right ureteric injury and pancreatic duct (PD) stenting was done for distal main pancreatic duct injury (MPD).


Subject(s)
Abdominal Injuries , Firearms , Fistula , Pancreatic Diseases , Wounds, Gunshot , Male , Humans , Wounds, Gunshot/complications , Wounds, Gunshot/surgery , Pancreas/diagnostic imaging , Pancreas/surgery , Pancreatic Ducts/diagnostic imaging , Pancreatic Ducts/surgery , Pancreatic Diseases/complications , Abdominal Injuries/complications , Abdominal Injuries/surgery
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