부산대학교 도서관

Introduction: Blunt duodenopancreatic trauma is a rare clinical entity, occurring in less than 2% of all cases of closed abdominal trauma. However, duodenopancreatic injury has high morbidity and mortality rates, especially when severe. While most injuries need only simple surgical techniques, such as debridement or drainage, grade V injuries often require more complex solutions. These may include major pancreatic resection, such as the technically demanding Whipple procedure, which may need to be performed by surgical teams without adequate preparation, in an unstable patient, often at late hours. Case Report: A case of a 51-year-old male who sustained blunt abdominal trauma with complex duodenopancreatic injury when he was involved in a motor vehicle collision. The patient was initially managed with damage control laparotomy; pancreaticoduodenectomy was performed in a second operation, with acceptable results. Conclusion: Treatment of complex duodenal and pancreatic injury may require pancreaticoduodenectomy. The use of damage control techniques allows restoration of the patient’s physiological parameters prior to the extensive surgical procedure.