A case of type IIIb pancreatic injury treated by non-operative management via endoscopic pancreatic duct drainage

Abstract

A 27-year-old man was pressed his body and complained of abdominal pain with S-AMY level elevation. Enhanced CT and ERP revealed main pancreatic duct injury, therefore we diagnosed him as type IIIb pancreatic injury. Because ENPD tube could be inserted to distal duct, we selected a non-operative management, following which his symptoms improved. After that, ENPD tube was replaced with ERPD tube and he was discharged. Although type IIIb pancreatic injury was thought to be surgical indicator, case reports of non-operative managements via endoscopic pancreatic duct drainage are increasing. This strategy will have merit because patients can recover noninvasively.