Post-traumatic pancreatic sequestrum: recognition and treatment

Midline pancreatic injury from blunt trauma can be very subtle. Although nonoperative management usually results in early complications, chronic symptoms may develop 2 months to 2 years after injury. Four patients with pancreatic sequestrum demonstrated the need for ERCP in patients with epigastric pain developing late after injury, emphasizing the importance of early operation and complete exploration of pancreatic injuries.