Isolated Blunt Pancreatic Trauma: A Case of Spleen Preserving Distal Pancreatectomy and One-Stage Pancreaticoduodenectomy

Isolated blunt pancreatic injuries are rare. Diagnosis is often delayed due to minimal symptoms and signs. Elevated serum amylase or lipase levels on routine pre-operative laboratory investigations makes injury highly likely. Contrast Enhanced CT scan usually confirmatory. We reporting two patients who presented with abdominal trauma, haemodynamically stable, epigastric tenderness. Pre-admission biochemical revealed elevated amylase. CECT demonstrated Grade III IV which were treated spleen-preserving distal pancreatectomy pancreaticoduodenectomy, respectively. Post-operatively, both developed amylase-rich fistulae resolved conservative management.