ENDOSCOPIC MANAGEMENT OF COMPLETE MAIN PANCREATIC DUCT TRANSECTION IN A YOUNG CHILD

A 11-year-old female suffered blunt abdominal trauma with a school chair and presented in emergency room with epigastric pain and vomits. On admission, abdominal tenderness was noted and laboratory workup showed mild elevation of pancreatic enzymes. Abdominal ultrasonography revealed irregularity in the pancreatic neck with adjacent fluid, suspicious of parenchymal laceration. Computed tomography confirmed complete transection of main pancreatic duct (MPD) (grade IV injury). Early endoscopic retrograde cholangiopancreatography was performed with successful bridging of the disruption and insertion of a plastic stent. After 14 weeks with good clinical evolution, stent was removed and integrity of MPD confirmed by endoscopic ultrasonography.

Publication History

Article published online:
14 April 2022