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Effective conservative management of delayed pancreatic injury

Amir Obeid1, Dan Hershko2, Abd El Karim Darawshy2

  • 1Department of General Surgery A, HaEmek Medical Center, Afula, Israel obeidamir@gmail.com.

BMJ Case Reports
|February 10, 2025
PubMed

Insights

This case report details the successful conservative management of a rare pancreatic body transection from blunt abdominal trauma. It highlights the potential for non-operative treatment in select patients with pancreatic injuries.

Area of Science:

  • Trauma Surgery
  • Surgical Gastroenterology
  • Abdominal Imaging

Background:

  • Pancreatic injuries from blunt abdominal trauma are uncommon.
  • These injuries pose diagnostic and management difficulties.

Purpose of the Study:

  • To report a case of traumatic pancreatic body transection.
  • To emphasize conservative management strategies for pancreatic trauma.
  • To highlight the value of a multidisciplinary approach.

Main Methods:

  • Case report of a young patient with blunt abdominal trauma.
  • Conservative (non-operative) management approach.
  • Multidisciplinary team involvement.

Main Results:

  • Successful non-operative management of pancreatic body transection.
  • Demonstrated feasibility of conservative treatment in this case.

Conclusions:

  • Conservative management can be successful for select pancreatic transections.
  • A multidisciplinary approach is crucial for optimal outcomes in pancreatic trauma.

Keywords:
EndoscopyGI-stentsGeneral surgeryPancreas and biliary tractSurgery

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