2014 Volume 28 Issue 4 Pages 327-331
A 45-year-old woman consulted us for a bruise on her abdomen caused by a bicycle seat. On arrival, the patient was alert, with stable vital signs, and mild abdominal pain and tenderness. Abdominal CT revealed a type III pancreatic injury in the pancreatic head and intraperitoneal bleeding. Damage to the main pancreatic duct was suspected ; however, definitive diagnosis was difficult using the CT findings alone. She was kept under close observation, but no additional examinations were performed because the patient had only mild abdominal symptoms and stable vital signs. Her vital signs remained stable and there were no further abdominal symptoms. Abdominal CT performed two weeks later revealed a cyst in the pancreatic head and biliary duct dilatation, which were successfully treated by percutaneous pancreatic cyst drainage. We report a case of pancreatic injury with suspected damage to the main pancreatic duct that resolved with strict observation and conservative treatment.
