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Case Reports
. 2015 Jun 16;1(1-2):13-16.
doi: 10.1016/j.tcr.2015.03.003. eCollection 2015 Feb.

Blunt trauma pancreatic duct injury managed by non-operative technique, a case study and literature review

A Zala  1 , R Gaszynski  2 , G Punch  2
Affiliations
Case Reports

Blunt trauma pancreatic duct injury managed by non-operative technique, a case study and literature review

A Zala et al. Trauma Case Rep. .

Abstract

We describe the case of a 15 year old boy who presented with generalised abdominal pain following a seemingly minor collision at weekend soccer. Investigation revealed a grade IV pancreatic injury that was subsequently managed with pancreatic stent insertion by endoscopic retrograde cholangiopancreatography (ERCP) and total parenteral nutrition (TPN) prior to recommencing low fat diet 10 days post-injury.

Keywords: Blunt injury; Non-operative; Pancreas; Trauma.

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Figures

Fig. 1
Fig. 1
Initial abdominal CT 24 h post-injury showing transection of the neck of the pancreas consistent with AAST-OIS Grade IV injury.
Fig. 2
Fig. 2
Initial ERCP showing contrast extravasation from the main pancreatic duct and the neck of the pancreas, managed with pancreatic duct stent.
Fig. 3
Fig. 3
Serial ERCP 4 weeks post-injury showing patent and healed main pancreatic duct.
See this image and copyright information in PMC

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