young 19 yr old male under effect of acute alcohol ingestion. h/o road traffic accident leading to head injury with drowning due to fall in water canal. blunt abdominal trauma leading to shattered lt lobe of liver, splenic hilar trauma, avulsion of pancreatic body from neck( complete transection class 3 injury) with about 3.5 litre of haemoperitonium, splenic vein vas having multiple lacerations post.to pancreas, compelled us to perform distal pancreatectomy with splenectomy pulseless bpless condition.patient was resusitated in form of blood transfusions , ventilator .after bp control ,pt was taken for ot with grave risk consent as a rescue laparotomy.3.5 lit haemoperitonium was drained , haemostasis achieved, lt lobe hepatorraphy,splenectomy with distal pancreatectomy was performed.
pt died on first p.o.d due to severe blood loss,lung injury due to drowning. operated by me and dr dhaval patel
