{"product_id":"case-10-en-pancreas-and-superior-mesenteric-vein","title":"Case 10 (EN): Pancreas and Superior Mesenteric Vein","description":"\u003cp\u003e\u003cstrong\u003eThis case includes both English and Spanish versions.\u003c\/strong\u003e\u003c\/p\u003e\n\u003ch3\u003ePancreas and Superior Mesenteric Vein\u003c\/h3\u003e\n\u003cp\u003eA patient with penetrating trauma arrives alert, with a GCS of 15\/15, blood pressure of 96\/76 mmHg, and a heart rate of 94 bpm. He has signs of peritoneal irritation. E-FAST shows a left hemothorax and free fluid in the hepatorenal, splenorenal, and suprapubic windows.\u003c\/p\u003e\n\u003cp\u003eThe massive transfusion protocol is activated. At laparotomy there are 2,000 mL of hemoperitoneum, a zone I retroperitoneal hematoma, and injuries to the stomach, gallbladder, liver, transverse colon, pancreatic head, and superior mesenteric vein.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eBleeding from the mesenteric vein is controlled, and the patient remains stable. That is where the decision begins.\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003eThe question is not just: \u003cstrong\u003eHow do you repair each injury?\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eThe question is: How much should you fix in this first operation?\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eEstimated duration:\u003c\/strong\u003e 90–120 minutes\u003cbr\u003e\u003cstrong\u003eAccess:\u003c\/strong\u003e Immediate upon purchase · One-time payment · No expiration.\u003c\/p\u003e","brand":"Penetrating Trauma Special O.P.S","offers":[{"title":"Default Title","offer_id":68179795607712,"sku":null,"price":25.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0692\/8462\/6592\/files\/shopify_EN_caso10.jpg?v=1793391547","url":"https:\/\/www.penetratingtrauma.org\/products\/case-10-en-pancreas-and-superior-mesenteric-vein","provider":"Penetrating Trauma Special Ops","version":"1.0","type":"link"}