A case of traumatic pancreatic injury typeIIIb with endoscopic pancreatic stenting

Abstract

A 52-year-old male, who was kicked by his son 2 days previously, was taken to our hospital with the chief complaint of abdominal pain. Abdominal computed tomography (CT) showed pancreatic head injury and fluid collection extend to the inferior pole of right kidney. Endoscopic retrograde pancreatography (ERP) showed main pancreatic duct injury with leakage of contrast medium at the pancreatic head. We placed a 5-Fr endoscopic naso-pancreatic drainage (ENPD) tube. On the same day, operation was performed for intraperitoneal drainage. Fever and abdominal pain got better day by day. On the 20 th day, the ENPD tube was exchanged to pancreatic duct stent. There were no serious complications, and he was discharged on the 36 th hospital day.