Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Table of Contents - Year : 2016 | Month : March | Volume : 10 | Issue : 3 | Page : PD08 - PD10

Non Operative Approach to Isolated Traumatic Pancreatic Duct Disruption PD08-PD10

Sheshang U Kamath, Satish B Dharap

Dr. Sheshang U Kamath,
Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai-400022, Maharashtra, India.

Management of isolated traumatic pancreatic duct disruption remains challenging due to associated morbidity and mortality. Two children with isolated pancreatic ductal disruption were treated conservatively. Both developed a pseudocyst which resolved spontaneously due to the atrophy of the distal pancreas in a five-year-old girl while remained persistent and was treated by endoscopic cystogastrostomy in an eight-year-old boy. Non-operative management may be pursued in patients with pancreatic ductal injury in the hope of a pseudocyst formation which may spontaneously resolve or may be treated later with a minimally invasive procedure. However, the literature review precludes its practice as a standard due to high incidence of associated complications of non-operative management.