ArticleTrauma case reports2026
Severe post-traumatic Pancreatoduodenal injury with septic shock and enteric fistula: A multidisciplinary challenge - Case report.
Article in Trauma case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Severe pancreatoduodenal trauma presents complex management challenges with high morbidity and mortality. We report a case of 16-year-old male sustained severe pancreatoduodenal injuries following a high-velocity motorcycle collision, presenting with pancreatic contusion and partial duodenal transection. The postoperative course was complicated by septic shock, acute kidney injury, and subsequent development of a high-output duodenal fistula with multidrug-resistant infections. Through coordinated critical care, targeted antimicrobial therapy, and nutritional support, the patient demonstrated clinical improvement with resolution of major complications, ultimately achieving sufficient stability for ICU discharge. However, a significant functional impairment persisted requiring ongoing care. This case highlights the critical importance of prompt recognition of combined pancreatoduodenal injuries, staged surgical intervention, and multidisciplinary management in high-energy trauma.
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