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<p>Pancreatic and extrahepatic biliary tree traumas are rare traumas, due to specific trauma dynamics. They may require both non-operative and operative management, according to the severity of injury. In the case of operative management, a multidisciplinary approach is crucial to improve clinical outcomes, to reduce complications and to ensure complete management of injuries. The case presented is an example of such a multidisciplinary approach in polytrauma, in which the combination of surgical and endoscopic approach allowed to manage severe common biliary duct and pancreatic head injury, creating a “neoampulla”. This is the first case described in literature of such an approach in common bile duct traumatic injury.</p>

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Neoampulla of vater creation to treat traumatic intrapancreatic common bile duct injury

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月7日

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  • Ercolani Giorgio,
  • Santandrea Giorgia,
  • Fabbri Carlo,
  • Bisulli Marcello,
  • Agnoletti Vanni,
  • Giampalma Emanuela,
  • Vallicelli Carlo,
  • Catena Fausto

摘要

Pancreatic and extrahepatic biliary tree traumas are rare traumas, due to specific trauma dynamics. They may require both non-operative and operative management, according to the severity of injury. In the case of operative management, a multidisciplinary approach is crucial to improve clinical outcomes, to reduce complications and to ensure complete management of injuries. The case presented is an example of such a multidisciplinary approach in polytrauma, in which the combination of surgical and endoscopic approach allowed to manage severe common biliary duct and pancreatic head injury, creating a “neoampulla”. This is the first case described in literature of such an approach in common bile duct traumatic injury.