[ XXXX . Report on 42 cases (author's transl)].

@entity1 @entity788 @entity39 @entity660 @entity260 @entity79 @entity281 @entity3511 @entity130
Between 1975 and 1980, 42 @entity660 have been managed, they represented 9.5 per cent of @entity3511 . Nine @entity1 received penetrating @entity130 and thirty three @entity1 sustained blunt @entity130 , the majority of them was a road accident. Associated and concomitant injuries of abdominal organs were present in 81 per cent of cases with the @entity788 . More than 66 per cent have multiple brain, thoraco, abdominal, and @entity79 . Thirty two @entity1 have been treated before the sixth hour. The emergency surgical treatment has been conservative in twenty six @entity1 and a primary resection has been performed in twelve @entity1 , (with eleven partial pancreatectomy and one pancreatoduodenectomy). But four @entity1 died on the operating table because they have extensive injuries to several abdominal organs. @entity260 were present in 66 per cent of cases. They obliged the drainage of abscesses, three distal pancreatectomy and one pancreatoduodenectomy. The global mortality is 31 per cent, the secondary mortality is 21.4 per cent. The authors conclude thanks to the study of this series and of literature that the frequency of @entity788 increased, and that its gravity is directly related to the number of other organs damages, missed or delayed diagnostic and to an inappropriate emergency treatment, which let @entity39 and @entity281 making their deadly evolution.
