Isolated Pancreatic Transection in a Case of Blunt Abdominal Trauma

摘要

A 20-year-old male patient presented with complaint of epigastric pain and vomiting, 1 day after an episode of bike handle injury. Ultrasound showed only mild free fluid in the abdomen. The patient gradually developed tachycardia, hypotension and guarding in the abdomen. CT scan revealed complete pancreatic transection between the neck and the body with segmental separation about an inch. Serum lipase was raised. Exploratory laparotomy revealed acute pseudocyst formation and necrotic slough on the transected ends. Distal pancreatectomy without splenectomy was performed. The patient recovered uneventfully.