Abstract
A 38-year-old woman involved in a traffic accident was referred to our hospital complaining of upper abdominal pain. Abdominal computed tomography revealed transection of the pancreatic body (type IIIb pancreatic injury), and a 2-cm-deep laceration of the liver parenchyma (type II liver injury). Emergency laparotomy revealed complete pancreatic transection with injury of the main pancreatic duct on the left border of the superior mesenteric vein, and injury of segment 4 of the hepatic parenchyma. We performed distal pancreatectomy and local hemostasis for the liver. The postoperative course was good, and the pancreatic exocrine function was acceptable after discharge. Distal pancreatectomy should be performed for patients with transection of the pancreas a procedure to preserve pancreatic function should only be performed if the distal resection entail resection of greater than 80% of the pancreas.
