Panamerican Journal of Trauma, Critical Care & Emergency Surgery

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VOLUME 8 , ISSUE 3 ( September-December, 2019 ) > List of Articles


Perforating Pancreatic Injury: New Approaches and Unexpected Complications

Leonardo KS Koyama, Alissom V Cincoto, Adriano RM Pflug, Francisco de Salles Collet e Silva, Edivaldo M Utiyama

Keywords : Firearm, Laparoscopy, Pancreas, Trauma

Citation Information : Koyama LK, Cincoto AV, Pflug AR, e Silva FD, Utiyama EM. Perforating Pancreatic Injury: New Approaches and Unexpected Complications. Panam J Trauma Crit Care Emerg Surg 2019; 8 (3):187-190.

DOI: 10.5005/jp-journals-10030-1255

License: CC BY-NC 4.0

Published Online: 07-12-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Perforating pancreatic injury (PPI) is an uncommon event in trauma centers. In rare cases, it can complicate with pancreatic fluid collections (PFC). Although it is well known in cases of acute pancreatitis, there are few described cases in trauma patients. Another feared complication is the disconnection of the major pancreatic duct (MPD), which most authors recommend to be treated immediately. We hereby report a successful case of PPI that was initially approached by videolaparoscopy, coursed with an infected PFC formation and a MPD disconnection. This case analysis suggests that videolaparoscopy may be feasible in patients with PPI and that minimally invasive approaches in the acute phase might postpone more aggressive procedures to an elective and well-planned approach.

  1. Kollar D, Molnar FT, Zsoldos P, et al. Diagnosis and management of blunt pancreatic trauma. Orv Hetil 2018;159(2):43–52. DOI: 10.1556/650.2018.30938.
  2. Chinnery GE, Krige JE, Kotze UK, et al. Surgical management and outcome of civilian gunshot injuries to the pancreas. Br J Surg 2012;99(Suppl 1):140–148. DOI: 10.1002/bjs.7761.
  3. Nabi Z, Lakhtakia S, Basha J, et al. Endoscopic drainage of pancreatic fluid collections: long-term outcomes in children. Dig Endosc 2017;29(7):790–797. DOI: 10.1111/den.12884.
  4. Crisanto-Campos BA, Arce-Lievano E, Cardenas-Lailson LE, et al. Laparoscopic management of pancreatic pseudocysts: experience at a general hospital in Mexico City. Rev Gastroenterol Mex 2015;80(3):198–204. DOI: 10.1016/j.rgmx.2015.05.003.
  5. Kawahara NT, Alster C, Fujimura I, et al. Standard examination system for laparoscopy in penetrating abdominal trauma. J Trauma 2009;67(3):589–595. DOI: 10.1097/TA.0b013e3181a60593.
  6. Kozarek RA, Ball TJ, Patterson DJ, et al. Endoscopic transpapillary therapy for disrupted pancreatic duct and peripancreatic fluid collections. Gastroenterology 1991;100(5 Pt 1):1362–1370.
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