J Acute Care Surg.  2018 Oct;8(2):74-77. 10.17479/jacs.2018.8.2.74.

Isolated Pancreatic Transection Due to Motorcycle Accident with Endoscopic Treatment: A Case Report

• Park CI
• Park SJ
• Kim JH
• Baek DH

• KMID: 2434942
• DOI: http://doi.org/10.17479/jacs.2018.8.2.74

Abstract

An isolated pancreatic transection due to blunt trauma is a rare occurrence that usually requires surgical treatment. Non-surgical treatment for a pancreatic transection remains controversial because of its associated complications. On the other hand, non-surgical treatment has been used increasingly as a treatment option with promising results in recent years. A patient presented with a suspected pancreatic injury caused by a motorcycle accident. The computed tomography findings revealed an isolated pancreatic neck transection with a small amount of fluid collection. He was hemodynamically stable without signs of peritoneal irritation. Endoscopic retrograde pancreatography and stent insertion were performed. The patient had no significant complications and was discharged on day 18. The stent was removed on day 103 and the patient showed good recovery. For an isolated pancreatic transection, endoscopic intervention can be considered as an alternative with a good outcome in selected patients.

Keyword

Cholangiopancreatography; endoscopic retrograde; Pancreas; Wounds and Injuries

MeSH Terms

Hand
Humans
Motorcycles*
Neck
Pancreas
Stents
Wounds and Injuries