title: Novel surgical technique for complete traumatic rupture of the pancreas: A case report.
abstract: BACKGROUND
  Complete pancreatic rupture is a rare injury. The typical mechanism by which this occurs is overstretching of the pancreas across the vertebral column during blunt abdominal trauma. The management of this injury depends on the location and extent of the injury.
  
  
  METHODS
  A 45-year-old Caucasian woman presented with blunt abdominal trauma after she fell onto the end of a handlebar during a bicycle accident. She arrived in the emergency room with stable vital signs and an isolated bruise just above the umbilicus. A computed tomography scan revealed a complete rupture of the pancreas, just ventral to her superior mesenteric vein, and an accompanying hematoma but no additional injuries. An emergency laparotomy was performed; the head of the pancreas was oversewn with interrupted sutures and this was followed by a two-layer pancreaticojejunostomy with the tail of the pancreas. The recovery after surgery was completely uneventful.
  
  
  CONCLUSIONS
  Isolated complete pancreatic rupture is a rare injury that can be managed with complete organ preservation. The combination of suturing the pancreatic head and two-layer pancreaticojejunostomy with the pancreatic tail is a feasible technique to manage this condition.
authors.affiliation: Department of Surgery, Ludwig-Maximilian's University, Grosshadern Hospital, Marchioninistraße 15, D-81377 Munich, Germany. martin.kreis@med.uni-muenchen.de.
authors.forename: Martin E
authors.initials: ME
authors.lastname: Kreis
authors.forename: Markus
authors.initials: M
authors.lastname: Albertsmeier
authors.forename: Anno
authors.initials: A
authors.lastname: Graser
authors.forename: Detlef
authors.initials: D
authors.lastname: Krenz
authors.forename: Karl-Walter
authors.initials: KW
authors.lastname: Jauch
authors.forename: Wolfgang E
authors.initials: WE
authors.lastname: Thasler