Blunt pancreatic duct injury in children.

Case: A 10-year-old boy sustained a blunt injury to the pancreatic neck with complete transection of the main pancreatic duct. Because endoscopic catheterization across the rupture site was not possible, an endoscopic nasopancreatic drain was inserted through the proximal pancreatic duct into the retroperitoneum. An emergency laparotomy was carried out, during which time the tube was used as a guide for identifying disrupted pancreatic ducts. Damaged tissue was removed, the proximal pancreatic duct was ligated, and a Roux-en-Y distal pancreaticojejunostomy was carried out.

Outcome: The patient was discharged 49 days after surgery.

Conclusion: Preoperative catheterization of the transected pancreatic duct is an option for detecting a disrupted main pancreatic duct.