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Conservative endoscopic management for pancreatic trauma

R Delcenserie1, J Ricard2, T Yzet3

  • 1Service d'hépato-gastro-entérologie, CHU d'Amiens, avenue René-Laennec, 80054 Amiens cedex 01, France.

Journal of Visceral Surgery
|February 22, 2016
PubMed

Insights

Traumatic pancreatic duct injuries are rare but severe. A novel endoscopic stent treatment successfully managed a child's complete main pancreatic duct disruption.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Device Technology

Background:

  • Traumatic pancreatic injuries are uncommon, with severity directly linked to main pancreatic duct (MPD) involvement.
  • Complete MPD disruption poses significant management challenges, particularly in pediatric cases.

Observation:

  • A 5-year-old child sustained a complete disruption of the main pancreatic duct due to trauma.
  • The injury presented a critical challenge requiring innovative therapeutic approaches.

Findings:

  • Successful endoscopic management of complete MPD disruption was achieved using a double pigtail stent.
  • This minimally invasive approach facilitated ductal healing and restored pancreatic function.

Implications:

  • Endoscopic stenting offers a viable, less invasive alternative for pediatric traumatic pancreatic duct injuries.
  • This case highlights the potential of interventional endoscopy in managing complex pediatric surgical conditions.

Keywords:
Double pigtail stentEndoscopic managementMain pancreatic ductPancreatic traumaRupture

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