DOI: 10.36347/sasjs.2020.v06i09.001

Pages: 310-312

Pancreatic trauma is rare, but can cause serious complications, including death. Because of its anatomical situation, the pancreas is usually affected in severe trauma. We present a case report of an 18 year old patient who had a trauma at the level of the right hypochondrium and the epigastrium. Abdominal ultrasound revealed a peritoneal effusion, and the CT-scan showed a pancreatic fracture without pneumoperitoneum. Urgent laparotomy confirmed the isthmic fracture with Wirsung’s duct complete section. Treatment consisted in suturing the cephalic part and anastomosis of the pancreatic tail on a Roux-type "Y" jejunal loop. Outcomes were simple. Many studies showed that this procedure is very useful to spare the parenchyma and helps prevent diabetes, if the diagnosis and the surgical treatment are performed quickly.