Abstract
We report a case of pancreatic trauma type IIIb in which pancreatic resection could be avoided by employing endoscopic pancreatic stenting and intraperitoneal drainage.
A 19-year-old woman who had fallen down at the stairs and got a bruise on the upper abdomen was brought into our hospital in March 2012. Abdominal CT scan showed pancreatic trauma and fluid collection around the superior mesenteric vein. Emergency endoscopic retrograde pancreatography (ERP) disclosed injury of the major pancreatic duct. Endoscopic nasobiliary drainage (ENBD) tube was thus placed. On the same day emergency operation was performed for intraperitoneal drainage. The postoperative course was uneventful and the ENBD was exchanged for endoscopic pancreatic stenting (EPS) on the 22nd hospital day. The patient improved progressively and was discharged from the hospital on the 39th hospital day.
