title: Traumatic pancreatic fistula with sinistral portal hypertension: Surgical management.
abstract: Combined ductal and vascular injuries are awesome complications of pancreatic injury. We report on a 29-year-old male unrestrained driver who sustained a blunt abdominal injury from the steering wheel in a high velocity head-on car collision. He developed a pancreatic fistula, portosplenic venous thrombosis and sinistral portal hypertension as a result of complete duct disruption at the pancreatic neck. We describe a safe surgical strategy of spleen-preserving distal pancreatectomy after failed medical and endoscopic management.
authors.affiliation: Shoukat Ahmad Bojal, Kam Fung Leung, Abdul-Wahed Nasir Meshikhes, Department of Surgery, King Fahad Specialist Hospital, Dammam 31444, Saudi Arabia.
authors.forename: Shoukat Ahmad
authors.initials: SA
authors.lastname: Bojal
authors.forename: Kam Fung
authors.initials: KF
authors.lastname: Leung
authors.forename: Abdul-Wahed Nasir
authors.initials: AW
authors.lastname: Meshikhes