Severe pancreatoduodenal injury

Area of Science:

• Trauma Surgery
• Surgical Gastroenterology
• Abdominal Trauma Management

Background:

• Severe pancreatoduodenal injuries are rare but life-threatening consequences of blunt abdominal trauma.
• Prompt diagnosis and aggressive management are crucial for patient survival and favorable outcomes.

Observation:

• A 30-year-old male presented with shock and a rigid abdomen following a traffic accident.
• Computed tomography revealed extensive pancreatoduodenal injury, necessitating immediate surgical intervention.

Findings:

• The patient underwent a damage control surgery involving initial peripancreatic packing.
• A subsequent two-stage pancreaticoduodenectomy was successfully performed.
• Postoperative management included addressing a hepatic abscess, with no pancreaticoduodenectomy-specific complications.

Implications:

• A staged surgical approach, including peripancreatic packing and delayed pancreaticoduodenectomy, is a viable strategy for severe pancreatoduodenal injuries.
• This approach may improve outcomes in complex abdominal trauma cases.
• Further research into optimizing damage control techniques for pancreatoduodenal trauma is warranted.