Zusammenfassung
Die Gallenblase und die überwiegend retroperitoneal liegenden Organe Pankreas, Duodenum und Ductus hepatocholedochus sind bei Bauchtraumen im Vergleich zu den intraabdominell liegenden Organen, v. a. Milz und Leber, gut gesehützt. Zwölffingerdarmverletzungen sind daher selten. Läsionen von Gallenblase und extrahepatischen Gallenwegen gehoren zu den ausgesprochenen Raritäten.In 13 Jahren sahen wir nur 3 Fälle einer Duodenalverletzung und nicht einen Patienten mit Schäden am extrahepatischen Gallengangssystem (Tabelle 1).
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Literatur
Abu-Dalu K, Ayalon A, Durst AL, Saltz NJ (1981) Surgical management of duodenal injury. Int Surg 66: 171–173
Anane-Sefah J, Norton LW, Eiseman B (1975) Operative choice and technique following pancreatic injury Arch Surg 110: 161–166
Bach RD, Frey DF (1971) Diagnosis and treatment of pancreatic trauma. Am J Surg 121: 20–29
Belzer FO, Watts JM, Ross HB, Dunphy JE (1965) Auto-reconstruction of the common bile duct after venous patch graft. Ann Surg 162: 346
Berne CJ, Donavan AJ, Hagen WE (1968) Combined duodenal pancreatic trauma. Arch Surg 96: 712–722
Berne CJ, Donavan AJ, White EJ, Yellin AE (1974) Duodenal diverticulation for duodenal and pancreatic injury. Am J Surg 127: 503–507
Berni GA, Bandyk DF, Oreskovich MR, Carrico CJ (1982) Role of intraoperative pancreaticography in patients with injury to the pancreas. Am J Surg 143: 602–605
Busuttil RW, Kitahama A, Cerise E, McFadden M, Lo R, Longmire WP (1980) Management of blunt and penetrating injuries to the porta hepatis. Ann Surg 191: 641–649
Campbell R, Kennedy T (1980) The management of pancreatic and pancreaticoduodenal injuries. Br J Surg 67: 845–850
Carmichael DH (1980) Avulsion of the common bile duct by blunt trauma. South Med J 73: 166–172
Cogbill TH, Moore EE, Kashuk JL (1982) Changing trends in the management of pancreatic trauma. Arch Surg 117: 722–728
Dickerman RM, Dunn EL (1981) Splenic, pancreaticand hepatic injuries. Surg Clin North Am 61: 3–16
Doubilet H, Mulholland JH (1959) Surgical management of injury to the pancreas. Ann Surg 150: 854–859
Felson B, Levin EJ (1954) Intramural hematoma of the duodenum. A diagnostic roentgen sign. Radiology 63: 823
Filler D, Schwemmle K, Muhrer KH (1978) Die Pankreasverletzung im Kindesalter. Z Kinderchir 24: 145–153
Fitzgibbons TJ, Yellin AE, Maruyama MM, Donavan AJ (1982) Management of the transected pancreas following distal pancreatectomy. Surg Gynecol Obstet 154: 225–231
Fletcher WS (1972) Non-penetrating trauma to the gallbladder and extrahepatic bile duct. Surg Clin North Am 52: 711–717
Flint LM, McCoy M, Richardson D, Polk HC (1980) Duodenal injury. Analysis of common misconceptionsin diagnosis and treatment. Ann Surg 191: 697–702
Freeark RJ, Norcross WJ, Corley RD (1966) Operation for obstructing duodenal hematoma. Surg Clin North Am 46: 85
Graham JM, Mattox KL, Jordan GL Jr (1978) Traumatic injuries to the pancreas. Am J Surg 136: 744–748
Graham JM, Mattox KL, Yaughan GD, Jordan GL (1979) Combined pancreatoduodenal injuries. J Trauma 19: 340–346
Hartman SW, Gereaney EM Jr (1964) Traumatic injuries to the biliary system in children. Am J Surg 108: 150
Hauenstein KH, Wimmer B, Billmann P, Noldge G,Zavisic D (1982) Die Rolle der Sonographic beim stumpfen Bauchtrauma. Radiologe 22: 106–111
Heitsch RC, Knutson CO, Fulton RL, Jones CE (1976) Delineation of critical factors in the treatment of pancreatic trauma. Surgery 80: 523–529
Huljic P, Knaepler H (1982) Stumpfes Bauchtrauma und Choledochusruptur bei Choledochuskonkrementen. Fragen des Zusammenhanges. Chirurg 53: 137–139
Jaschke W, Hiemer W (1982) Zur Therapie von Pankreasverletzungen im Kindesalter. Aktuel Traumatol 11: 169–173
Jeffrey RB Jr, Federle MP, Crass RA (1983) Computed tomography of pancreatic trauma. Radiology 147: 491–494
Jones RC (1978) Management of pancreatic trauma. Ann Surg 187: 555–564
Kashuk JL, Moore EE, Cogbill TH (1982) Managementof the intermediate severity duodenal injury. Surgery 92: 758–764
Kaude JY, Mclnnis AN (1982) Pancreatic ultrasound following blunt abdominal trauma. Gastrointest Radiol 7: 53–56
Käufer C, Hiller U, Wulfing D (1972) Stumpfe Bauchverletzungen im Kindesalter. Z Kinderchir [Suppl] 11: 467–487
Lankisch PG, Schmidt H (1978) Pankreasfunktion nach Pankreastrauma und traumatischer Pankreatitis. Schweiz Med Wochenschr 108: 101–104
Letton AH, Wilson JP (1959) Traumatic severance of pancreas treated by Roux-Y anastomosis. Surg Gynecol Obstet 109: 473–478
Lowe RJ, Saletta JD, Mos GS (1977) Pancreatoduodenectomy for penetrating pancreatic trauma. J Trauma 17: 732–741
Lucas CE (1977) Diagnosis and treatment of pancreatic and duodenal injury. Surg Clin North Am 57: 49–65
Lucas CE, Ledgerwood AM (1975) Factors influencing outcome after blunt duodenal injury. J Trauma 15: 839–849
Lüdtke-Handjery A (1983) Die retroperitoneale Duodenalruptur nach stumpfem Bauchtrauma. Chirurg 54: 341 - 344
Maier WP, Lightfoot WP, Rosemond GP (1968) Extrahepatic biliary ductal injury in closed trauma. Am J Surg 116: 103
Martin LW, Henderson BM, Welsch N (1968) Disruption of the head of pancreas caused by blunt trauma in children: A report of two cases treated with primary repair of the pancreatic duct. Surgery 63: 697
Martin TD, Feliciano DV, Mattox KL, Jordan GL (1983) Severe duodenal injuries. Treatment with pyloric exclusion and gastrojejunostomy. Arch Surg 118: 631–635
Mühe E, Schwemmle K (1970) Diagnostik und Therapie von Abrissen des Ductus choledochus bei stumpfen Bauchtraumen. Chirurg 41: 83–85
Northrup WF, Simmons RL (1972) Pancreatic trauma: A review. Surgery 71: 27–43
Papachristou DV, D’Agnostino H, Fortner JG (1980) Ligation of the pancreatic duct in pancreatectomy. Br J Surg 67: 260–262
Park CD, Mackie J A, Rhodes JE (1967) Pancreatogastrostomy. Am J Surg 113:85–89
Penn J (1962) Injuries to the gallbladder. Br J Surg 49: 636–641
Robey E, Mullen JT, Schwab CW (1982) Blunt transection of the pancreas treated by distal pancreatectomy, splenic salvage and hyperalimentation. Ann Surg 196: 695–699
Rydell WB (1970) Complete transection of the common bile duct due to blunt abdominal trauma. Arch Surg 100: 724
Schäfer JH, van Lessen HG (1976) Duodenalverletzungen bei stumpfem Oberbauchtrauma. MMW 118: 1353–1358
Schulz RD, Willi U (1983) Ultraschalldiagnostik nach stumpfen Bauchverletzungen im Kindesalter. Ultraschall 4: 154–159
Sehwemmle K, Grabner W, Phillip T, Bötticher R (1973) Die operative Therapie der Pankreasverletzungen. Brans Beitr Klin Chir 220: 675–681
Shorthouse AJ, Singh MP, Treasure T (1978) Isolated complete transection of the common bile duct by blunt abdominal trauma. Br J Surg 65: 543
Skow JR, Longmire WP (1974) Common duct stricture secondary to blunt abdominal trauma. Am Surg 40: 576
Smith SW, Hastings TN (1954) Traumatic rupture of the gallbladder. Ann Surg 139: 517–520
Soderstrom CA, Maekawa K, Dupriest RW, Cowley RA (1981) Gallbladder injuries resulting from blunt abdominal trauma. An experience and review. Ann Surg 193: 60–66
Solheim K (1972) Blunt gallbladder injury. Injury 3: 246–248
Spigos DG, Tan WS, Larson G, Palani C, Zaitoon MM, Capek V (1981) Diagnosis of traumatic rupture of gallbladder. Am J Surg 141: 731–735
Stone HH, Fabian TC (1979) Management of duodenal wounds. J Trauma 19: 334–339
Stone HH, Fabian TC, Satiani B, Turkleson ML (1981) Experiences in the management of pancreatic trauma. J Trauma 21: 257–262
Taxier M, Sivak MV, Cooperman AM, Sullivan BH (1980) Endoscopic retrograde pancreatography in the evaluation of the trauma of the pancreas. Surg Gynecol Obstet 150: 65–68
Trede M, Kersting KH (1978) Abdominalverletzungen beim Polytraumatisierten. Chirurg 49: 672–678
Vaughan GD III, Frazier OH, Graham DY et al. (1977) The use of pyloric exclusion in the management of severe duodenal injuries. Am J Surg 134: 785–790
Weil PH (1980) Management of retroperitoneal trauma. Curr Probl Surg 20: 542–619
Weissmann HS, Byun KJC, Freeman LM (1983) Role of Tc-99m IDA szintigraphy in the evaluation of hepatobiliary trauma. Semin Nucl Med 13: 199–222
Wiener J, Watson LC, Wolma FJ (1982) Perforation of the gallbladder due to blunt abdominal trauma. Arch Surg 117: 805–807
Zollinger R Jr, Keller R, Hubay C (1972) Traumatic rupture of the right and left hepatic ducts. J Trauma 12: 563–569
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Schwemmle, K. (1986). Verletzungen von Duodenum, Pankreas und Gallenwegen. In: Siewert, J.R., Pichlmayr, R. (eds) Das traumatisierte Abdomen. Die Praxis der Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71025-4_19
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DOI: https://doi.org/10.1007/978-3-642-71025-4_19
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