poly trauma: distal pancreatectomy, splenectomy with lt renal vascular injury with transverse mesocolon tear with # lt humerus

alleged h/o road traffic accident with # lt humerus got severe hypotension and abdominal distension, referred to institute. ct scan suggestive of  class 3 pancreatic injury distal pancreas with transverse mesocolon tear with splenic vascular tear and 2.5 lit heamoperitoneum,non filling of left renal system on ct-uro. on exploration complete avulsion of pancreatic tail from body identified and removed with splenectomy. left kidney found viable and assessed by urologist,left as it was.trasverse mesocolon tear repaired. post operatively pt went into acute pulmonary edema and malignant hypertension due to renal injury and activation of renin-angiotensin system.pt had anuria and septicemia.so he was on daily dialysis for about 25 days,with about 25-50 cc pancreatic fistula.pt was on ventilator for about 1.5 month .now he is absolutely fine fully orally and discharged from hospital.doctor"s team including me, dr dhaval pate, dr kaushik shah, dr mitul chavda and dr ronak vyas , dr harshad joshi  were happy to see the result.