Spontaneous recanalization of the pancreatic duct: case report and review.
An eight-year-old boy received a grade 3 pancreatic injury as a result of a bicycle handlebar accident. Endoscopic retrograde cholangiopancreatography (ERCP) showed a proximal pancreatic duct transection. At laparotomy, a complete transection of the gland and duct was visualized; however, only debridement and external fistulization were performed. Follow-up ERCP performed 3 months postoperatively showed recanalization of the pancreatic duct without further operative intervention. At 1-year follow-up, the patient is pain free and tolerating a regular diet.
Arkovitz
M S
MS
Division of Pediatric Surgery, Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Garcia
V F
VF
D001642:Bicycling / Q000293:injuries*; D002648:Child; D002760:Cholangiopancreatography, Endoscopic Retrograde; D006801:Humans; D008297:Male; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D012075:Remission, Spontaneous