Abstract
We report herein on a case of IIIb type liver injury concomitant with IIIb type pancreatic injury. A 56-year-old woman was injured after falling down from a building and was admitted to our critical care center. As a CT scan revealed that the median section of the liver was deeply ruptured and the pancreas was completely divided into the head and tail portions, an emergency operation was performed. Distal pancreatectomy and hepatorrhaphy were performed but we could not achieve complete hepatic hemostasis, so that hepatotomy was performed with the finger fracture technique. We have reported this case as recue was accomplished in a case of IIIb type liver injury concomitant with IIIb type pancreatic injury.