Abstract
A woman in her forties sustained abdominal injuries in a traffic accident, and was admitted to our hospital. Abdominal CT showed concomitant pancreatic head injury and rupture of the duodenal bulb with intra-abdominal bleeding. An emergent operation was planned and laparotomy showed complete rupture of the head of the pancreas at the right verge of the portal vein and transection of the duodenal bulb accompanied by bleeding at the root of the gastrocolic trunk. Damage control surgery was performed at first, and pancreato-jejunostomy, diverticulization, and gastro-jejunostomy were conducted 6 days later.
Although appropriate choice of surgery for pancreatic injuries is still controversial, preservation of pancreatic function should be considered to the fullest extent possible. Primary damage control surgery could provide safe secondary reconstruction.
