Isolated Fracture of Pancreatic Neck: A Case Report

Abstract

Aim of the Study: Through our case of pancreatic neck rupture, the study aim was to emphasize the advantages of an early laparotomy when there is a doubt about a canal disruption and the risks of a later surgical management. Patients and Results: Our patients was operated on for a neck disruption of the pancreas due to blunt trauma,after a radiological exploration. He underwent a left pancreatectomy with spleen preservation. There were no associated injuries, no lesions of acute pancreatitis. Then, when pancreatic trauma occurs, an exploration with echography, scanner, endoscopic retrograde cholangiopancreatography or magnetic resonance cholangiopancreatography can suggest a neck disruption and a canal rupture. When the canal is safe, a drainage close to the pancreas is sufficient. When the rupture of the canal is suspected or proved, an early laparotomy is necessary in order to investigate the pancreas and to perform the appropriate procedure. This surgery is easier before the occurence of pseudocyst and acute pancreatitis.