[Traumatic duodeno-pancreatic dehiscence with avulsion of Vater's ampulla]

2 to 5% of blunt abdominal trauma have a pancreatic lesion. Avulsion of the ampulla and intact pancreas from the duodenum is an extreme rarity. Successful treatment in a 34-year-old car driver was the placement of a Roux-en-Y limb to the ampulla and pancreas with closure of the duodenum.