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Scholars Journal of Medical Case Reports | Volume-14 | Issue-04
The Role of Caudal Pancreatectomy in the Treatment of Traumatic Pancreatic Injuries: A Case Report
Nsengiyumva Anicet, Ngendakumana Vital, Ibrahim Natatou Nana Mariama, Maniradukunda Serges, Adnane Mouhsine, Idriss Mehdi Bourakkadi, Zerhouni Ahmed, Souiki Tarek, Ibn Majdoub Karim, Imane Toughrai
Published: April 25, 2026 |
19
8
Pages: 818-822
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Abstract
The role of caudal pancreatectomy in the treatment of traumatic pancreatic injuries is particularly important given the potential complications that can result from delayed intervention. The decision-making process regarding the extent of resection often depends on the patient's stability and the presence of associated injuries, highlighting the need for a personalized approach for each case. Pancreatic trauma is rare and can be life-threatening. The treatment of pancreatic trauma depends on the stage and extent of ductal involvement. MRI is a key examination for the diagnosis of ductal lesions in pancreatic trauma. Trauma to the left pancreas with ductal involvement can be treated by endoscopic drainage, but this can lead to fistula formation. Caudal pancreatectomy may be a better therapeutic option, with fewer cases of fistula and shorter hospital stays. We report the case of a 35-year-old patient admitted for pancreatic trauma with damage to the Wirsung duct who underwent caudal pancreatectomy with spleen preservation.


