Letton-Wilson Procedure for Main Pancreatic Duct Injury in a Child

Abstract

Traumatic complete transection of the pancreatic duct is rare in children. We report a case of traumatic transection of the pancreatic duct. A 7-year-old girl with pancreatic injury was transferred to our hospital. Computed tomography demonstrated a complete transection of the pancreas. However, she complained of abdominal pain without muscle guarding and her general condition was stable. Therefore, conservative treatment was selected. Fourteen days after the injury, she underwent external drainage of a pancreatic pseudocyst. Leaking of pancreatic juice continued, and ERCP showed complete transection of the main pancreatic duct and leak. Subsequently, a Roux-en-Y distal pancreatojejunostomy (Letton-Wilson procedure) was performed 72 days after the injury. She is doing well, and pancreatic function has been well preserved 17 months after the operation.