Pancreas preservation in complete traumatic transection of pancreas

BACKGROUNDIn blunt abdominal trauma, an isolated pancreatic injury is uncommon. Physical signs and laboratory parameters are often inaccurate, and missing this diagnosis can cause serious clinical problems.CASE OUTLINESFour patients were reported who sustained blunt abdominal trauma with isolated pancreatic injury. All patients had fracture of pancreas, grade III pancreatic injuries was diagnosed. Pancreatic tissue was conserved by performing a pancreaticojejunostomy.DISCUSSIONAfter any episode of blunt abdominal trauma, isolated injury to the pancreatic duct should be considered. Abdominal CT scanning can be helpful in early diagnosis. Preservation of pancreatic tissue can be achieved with a good clinical outcome. Introduction The incidence of pancreatic trauma is 2- 4% in blunt abdominal trauma 1 . It most commonly occurs in road traffic accidents where the mechanism of injury is trauma to the epigastrium by the steering wheel, causing compression of the organ against the vertebral column. Usually pancreatic injury is associated with other abdominal injuries. Here we describe the management of grade III pancreatic injury (distal transection). The management options for grade III injury is distal pancreatectomy or pancreaticojejunostomy 2 . We consider the organ preserving approach is ideal when the distal pancreatic segment is viable and the patient is stable. We report a series of 4 cases of grade III injury, in which we successfully preserve the pancreas in all cases.