Ezzedien Rabie M
Pancreatic duodenal injuries have high mortality and morbidity rates, owing to the unforgiving nature of the involved organs, particularly the pancreas, and the difficult procedures required for repair. In this report we describe the clinical course of a patient who sustained a devastating injury to the duodenum with separation of the pancreatic head, following a car accident. He was managed by emergent Whipple’s procedure with a successful outcome. This is one of a few published reports on emergency pancreaticoduodenectomy in the setting of trauma. Additionally, we question the mechanism of such injury, which spared the contagious pancreatic head. Figure 1: CT scan of the abdomen showing full stomach (yellow circle) and air in the retroperitoneum (yellow arrows). Figure