title: Management of Severe Pancreaticoduodenal Injuries.
abstract: Severe pancreaticoduodenal injuries are rare and no surgeon and institute get enough number of cases to acquire expertise. Hence, the management of such injuries remains controversial. We report a case of 28 years male who sustained a severe pancreaticoduodenal injury and was managed with emergency pancreaticoduodenectomy with immediate reconstruction. Various approaches have been described in literature with variable outcome. Damage control strategy seems to be most useful approach and major resection should be a part of debridement whenever required. Immediate reconstruction can be carried out safely if patients remain hemodynamically and metabolically stable.
authors.affiliation: Department of Surgery, Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal.
authors.forename: Tanka Prasad
authors.initials: TP
authors.lastname: Bohara
authors.affiliation: Department of Surgery, Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal.
authors.forename: Mukund Raj
authors.initials: MR
authors.lastname: Joshi
authors.affiliation: Department of Surgery, Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal.
authors.forename: Anuj
authors.initials: A
authors.lastname: Parajuli
authors.affiliation: Department of Surgery, Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal.
authors.forename: Gausan Ratna
authors.initials: GR
authors.lastname: Bajracharya
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D004386:Duodenum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D010179:Pancreas / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D016577:Pancreaticoduodenectomy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D015599:Trauma Severity Indices
keywords: damage control surgery; pancreaticoduodenectomy; severe pancreaticoduodenal injuries.