title: Non Operative Approach to Isolated Traumatic Pancreatic Duct Disruption.
abstract: Management of isolated traumatic pancreatic duct disruption remains challenging due to associated morbidity and mortality. Two children with isolated pancreatic ductal disruption were treated conservatively. Both developed a pseudocyst which resolved spontaneously due to the atrophy of the distal pancreas in a five-year-old girl while remained persistent and was treated by endoscopic cystogastrostomy in an eight-year-old boy. Non-operative management may be pursued in patients with pancreatic ductal injury in the hope of a pseudocyst formation which may spontaneously resolve or may be treated later with a minimally invasive procedure. However, the literature review precludes its practice as a standard due to high incidence of associated complications of non-operative management.
authors.affiliation: Post Graduate Student, Lokmanya Tilak Municipal Medical College and General Hospital , Mumbai, Maharashtra India .
authors.forename: Sheshang U
authors.initials: SU
authors.lastname: Kamath
authors.affiliation: Professor, Department of General Surgery, Lokmanya Tilak Municipal Medical College and General Hospital , Mumbai, Maharashtra India .
authors.forename: Satish B
authors.initials: SB
authors.lastname: Dharap
keywords: Blunt injury; Children; Conservative; Pancreas; Treatment