A Case of Pancreaticoduodenectomy for Grade V Traumatic Pancreatic Injury in an Elderly Patient
Year: 2025
Type: article
Study design: Case Report
Abstract: Traumatic pancreatic injury is a rare condition, but cases involving main pancreatic duct injury often require surgical intervention and are associated with high mortality rates. Recently, two-stage surgical approaches, with initial damage control surgery followed by delayed pancreatic resection and reconstruction, have been increasingly reported. However, we argue that not all cases need a two-stage approach; instead, surgical strategies should be tailored based on the patient's vital signs. Furthermore, in pancreatic surgery, effective collaboration between trauma surgeons and hepatopancreatobiliary (HPB) surgeons is essential. Here, we report a case of a grade V traumatic pancreatic injury in an elderly patient that was successfully managed with one-stage pancreaticoduodenectomy, performed through coordinated efforts between trauma and HPB surgeons, resulting in a favorable outcome.
Source: Cureus
DOI: 10.7759/cureus.79533
Authors: Tsuyoshi Terada, Susumu Matushime, Keisuke Kamo, Kazuki Hashida, Nobuichiro Tamura
Institutions: Kurashiki Central Hospital, Tokyo Women's Medical University
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4407894723