Isolated Pancreatic Injury in Case of Blunt Trauma Abdomen.

ABSTRACT

A 25 year old man presented three days after an episode of blunt trauma abdomen (cycle handle injury) with complaint of abdominal pain and vomiting.At admission he had tachycardia, tenderness in epigastrium, and increase serum amylase. USG showed pancreatic swelling and free fluid in abdomen. CECT abdomen could not be performed. Exploratory laparotomy revealed pancreatic injury with slough. Capsulorrhaphy with drainage of lesser sac was done. Postoperatively he did not relieved, then CECT abdomen done on 8th postoperative day showed transaction of pancreas at neck. Relaparotomy with necrosectomy with drainage was done on next day. Distal pancreatectomy could not be performed due to edema. Patient was discharged with drain in situ draining 400 ml of clear fluid and again operated 2 months later. Distal pancreatectomy with splenectomy was done, patient was discharged uneventfully.