Complete pancreatic duct disruption in an isolated pancreatic injury: successful endoscopic management

摘要

Isolated pancreatic injury is uncommon and the management is challenging. Presentation is mostly delayed in such cases. We report a case of 26-year-old male, who was referred to our centre due to blunt abdominal trauma of 48 h duration with pain abdomen and vomiting. He was haemodynamically stable and was subjected to endoscopy after few hours of admission, but failed to cannulate the main pancreatic duct. Successful stenting was performed after 3 days of admission in the second attempt. He made an uneventful recovery and remains well 2 months after the injury. Management of isolated pancreatic injuries with complete duct disruption is challenging. Endoscopic management is an attractive minimally invasive option which avoids the need for surgery. Further studies are required regarding the selection of patients, safety and long-term outcome.