Korean J Gastrointest Endosc.  2008 Aug;37(2):146-150.

Endoscopic Treatment of Main Pancreatic Duct Transection, Accompanied with Pseudocyst after Abdominal Trauma, with Using Pancreatic Duct Stent: A Case Report

• Jeon TJ
• Park H
• Seo DD
• Oh TH
• Shin WC
• Choi WC
• Kim KH

Abstract

Pancreatic trauma is uncommon, but this is associated with high mortality and morbidity rates. Unrecognized main pancreatic duct injury results in early complications such as fistula, pseudocyst, abscess, hemorrhage and pancreatitis. The management of traumatic pseudocyst includes observation, external drainage, internal drainage and operation. The treatment modality is determined by the site and extent of the injury to the main pancreatic duct. Pancreatic stents have been widely used to treat pancreatic diseases such as pancreatitis, pseudocyst, fistula and stricture. Pancreatic stenting has been proven to be effective in the treatment of traumatic pseudocyst associated with the partial rupture of the main pancreatic duct. Surgical treatment is currently the main stay of therapy for complete transection of the main pancreatic duct accompanied with pseudocyst, but the role of pancreatic stenting has not been established. Herein we present our clinical experience with endoscopic treatment for main pancreatic duct transection, accompanied with pseudocyst after abdominal trauma, with using a pancreatic stent.

Keyword

Pancreatic trauma; Pancreatic duct transection; Pseudocyst; Pancreatic stent

MeSH Terms

Abscess
Constriction, Pathologic
Drainage
Fistula
Hemorrhage
Pancreatic Diseases
Pancreatic Ducts
Pancreatitis
Rupture
Stents