Perforating Pancreatic Injury: New Approaches and Unexpected Complications

Abstract

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.