2019 Volume 39 Issue 5 Pages 967-970
We report herein on a case of a pancreatic duct injury of type Ⅲb (pancreatic body transection, AAST grade Ⅲ). The patient was a teenage boy who presented at our hospital with abdominal pain 4 hours after the bicycle accident. Based on enhanced CT findings, we suspected pancreatic and intestinal injury. An emergency exploratory laparoscopy was performed to confirm no presence of intestinal injury, and then an open laparotomy was performed for evaluation and to treat the pancreatic injury. We identified the pancreatic duct injury and treated it with a spleen−preserving distal pancreatectomy with conservation of the splenic artery and vein. His postoperative course was satisfactory with a minor pancreatic fistula and he was discharged on the 26th post-operative day. Pancreatic trauma with a main pancreatic duct injury in children is rare and its management has been controversial, especially in case of duct injury of the pancreatic body. We expect an established management from the national clinical database in addition to more case reports.
