Non Operative Approach to Isolated Traumatic Pancreatic Duct Disruption
Published: March 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/.7451
Sheshang U Kamath, Satish B Dharap
1. Post Graduate Student, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra India.
2. Professor, Department of General Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra India.
Correspondence
Dr. Sheshang U Kamath,
Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai-400022, Maharashtra, India.
E-mail: sheshangkamath@gmail.com
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.
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