title: Complete pancreatic duct disruption in an isolated pancreatic injury: successful endoscopic management.
abstract: Isolated pancreatic injury is uncommon and the management is challenging. Presentation is mostly delayed in such cases. We report a case of 26-year-old male, who was referred to our centre due to blunt abdominal trauma of 48 h duration with pain abdomen and vomiting. He was haemodynamically stable and was subjected to endoscopy after few hours of admission, but failed to cannulate the main pancreatic duct. Successful stenting was performed after 3 days of admission in the second attempt. He made an uneventful recovery and remains well 2 months after the injury. Management of isolated pancreatic injuries with complete duct disruption is challenging. Endoscopic management is an attractive minimally invasive option which avoids the need for surgery. Further studies are required regarding the selection of patients, safety and long-term outcome.
authors.affiliation: Department of Gastroenterology and Radiology , Vydehi Institute of Medical Sciences and Research Centre , Bangalore , India.
authors.forename: Dilip Chakravarty
authors.initials: DC
authors.lastname: Kottapalli
authors.affiliation: Department of Gastroenterology and Radiology , Vydehi Institute of Medical Sciences and Research Centre , Bangalore , India.
authors.forename: Sreenivasa
authors.initials: S
authors.lastname: Devashetty
authors.affiliation: Department of Gastroenterology and Radiology , Vydehi Institute of Medical Sciences and Research Centre , Bangalore , India.
authors.forename: Vishwanath Reddapagari
authors.initials: VR
authors.lastname: Suryanarayana
authors.affiliation: Department of Gastroenterology and Radiology , Vydehi Institute of Medical Sciences and Research Centre , Bangalore , India.
authors.forename: Mounika
authors.initials: M
authors.lastname: Kilari
authors.affiliation: Department of Gastroenterology and Radiology , Vydehi Institute of Medical Sciences and Research Centre , Bangalore , India.
authors.forename: Mohamed Dawood
authors.initials: MD
authors.lastname: Ismail
authors.affiliation: Department of Gastroenterology and Radiology , Vydehi Institute of Medical Sciences and Research Centre , Bangalore , India.
authors.forename: Praveen
authors.initials: P
authors.lastname: Mathew
authors.affiliation: Department of Gastroenterology and Radiology , Vydehi Institute of Medical Sciences and Research Centre , Bangalore , India.
authors.forename: Praveen Kumar Arjuna
authors.initials: PK
authors.lastname: Chetty