TY - JOUR TT - Isolated Blunt Pancreas Injury In Handball Match AU - Dilmen, Serkan AU - Acar, Yahya Ayhan AU - Çınar, Orhan AU - Akbulut, Halil AU - Aydoğan, Ümit AU - Cömert, Bilgin PY - 2011 DA - April JF - Journal of Emergency Medicine Case Reports PB - Acil Tıp Uzmanları Derneği WT - DergiPark SN - 2149-9934 SP - 27 EP - 29 VL - 2 IS - 2 KW - Spor Travması KW - İzole Künt Pankreas Yaralanması KW - Hentbol Maçı. N2 - ıntroduction: Pancreas is a rare injured after blunt abdominal traumas. Because, It is a retroperitoneal and other organs in front of pancreas, usually absorb pancreatic trauma. Isolated pancreatic injury is rate of % 5-10 and can occur in sports traumas where close contact and profound impact can be made.Case report: A 23 years old man was admitted to emergency department with abdominal pain, nausea and vomiting. He had received a blow to the epigastric region of abdomen, during a handball match four hours ago. Vital signs were stable and in his physical examination no abdominal movements were present while breathing. Intestinal sounds were hyperactive and there was a rigid abdomen with rebound and tenderness in all four quadrants. In abdominal ultrasonography it was reported that there was no emergency sonografic pathology, except a rectus sheath hematoma. As the initial serum amylase level was 398 U/L and after two hours in second control was further elevated 503 U/L, a contrast enhanced (oral-intravenous) abdominal computed tomography was performed. There was a hematoma in the head of pancreas, circum uncinat process. The patient admitted to hospital with the diagnosis of isolated blunt pancreatic injury.result: In patients with sport traumas to abdominal region, isolated pancreatic injuries must be considered. Serial amylase level measurements can be helpful to diagnose this life threatening condition but for certain diagnosis, Computed tomography evaluation must be necessary CR - Burton PR, Fenton E. Pancreatic injuries in under-age Australian rules footballers. Emergency Medicine Australasia 2007;19:160- 162. CR - Öncel M, Dalkılıç G, Yıldız H, Sağıroğlu T, Gezen C, Olcay E. Minor trauma major injury with isolated pancreatic trauma “ Case Report” . Turkish Journal of Trauma & Emergency Surgery 1998;4:289-291. CR - Brestas SP, Karakyklas D, Gardelis J, Tsouroulas M, Drossos C. Sequential CT Evaluation of İsolated Non-Penetrating Pancreatic Trauma. Journal of the Pancreas 2006;7:51–55. CR - Nielsen TH, LS jensen. Pancreatic transection during karate train- ing. Brit. J.Sports. Med. 1986;20:82-83. CR - Lochan R, Sen G, Barrett AM, Scott J, Charnley RM. Management strategies in isolated pancreatic trauma. J Hepatobiliary Pancreat Surg. 2009;16:189-196. CR - Üstündağ M, Orak M, Güloğlu C, Sayhan MB, Uysal M. Bisikletten düşme sonucu gelişen akut pankreatit olgusu. Dirim 2006;81:300-303. CR - Karabulut Z, Bostanoğlu S, Besim H, Hamamcı EO, Korkmaz A. Pancreatic İnjuries: Analysis of 20 cases. Turkish Journal of Trauma&Emergency Surgery 2002;8:237-242. CR - Fischer JH, Carpenter KD, O’Keefe GE. CT Diagnosis of an İsolated Blunt Pancretic injury. AJR 1996;167:1152. CR - Karakoç M. Künt Batın Travmalarında F.A.S.T. ‘in Yeri. Uzmanlık Tezi. İstanbul 2004: pp. 37-38. CR - Chrysos E, Athanasakis E, Xynos E. Pancreatic trauma in the Adult: Current Knowledge in Diagnosis and Management. Pan- creatology 2002;2:365-378. CR - Reed Jc, Sabonya RE. Morphologic analysis of foregut cyst in the thorax. Am J Rontgenol 1974;120:851-90. CR - Basoglu A, Celik B, Sengul A.T. Giant parenchymal bronchogenic cyst mimicking hydropneumothorax J Thorac Cardiovasc Surg 2003;126:1201-1202 CR - Okur E. Altan K. Kuzu Okur H. Ertuğrul M. Halezaroğlu S. Atasalihi A. Bronkojenik kistlerde cerrahi tedavi. Toraks Dergisi 2002;3:66-69 UR - https://dergipark.org.tr/en/pub/jemcr/issue//535141 L1 - https://dergipark.org.tr/en/download/article-file/662655 ER -