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Case Report of Pancreatic-Preserving Surgical Drainage for Pancreatic HeadInjury with Main Pancreatic Duct Injury

Kojo M, Murata A, Matsuda T, Kagawa M, Miyake T, Tokuda H, Okugawa K and Matsuyama S

The incidence of pancreatic injury is low among trauma cases, and no clear treatment protocol has been established. Pancreatic injury, accompanied by injury to the main pancreatic duct (grades 3, 4 or 5 pancreatic injury) is generally thought to require surgery. Various surgical procedures are proposed for such cases, considering factors such as the patient’s general condition. In recent years, however, several reports have been published indicating that conservative treatment was possible, despite injury of the main pancreatic duct. We treated two cases of pancreatic trauma accompanied by injury to the pancreatic head and main pancreatic duct, and obtained good outcomes with drainage-based treatment. Therefore, we report on these cases along with a review of the literature.