Cavitojejunostomy for post-traumatic disconnected pancreatic duct syndrome presenting as persistent external pancreatic fistula: A case report

Authors

  • Kelu Sreedharan Sreesanth
  • Valiya Kambrath Prathapan
  • Mathew Joseph
  • Chandran Nirmala Vyshakh

DOI:

https://doi.org/10.32677/ijcr.v7i11.3131

Keywords:

Cavitojejunostomy, Disconnected pancreatic duct syndrome, Pancreatic trauma

Abstract

Post-traumatic disconnected pancreatic duct syndrome (DPDS) can present as persistent external pancreatic fistula following percutaneous drainage (PCD) of pancreatic collection. Management of these cases can be difficult and involves a multidisciplinary approach. Here, we present a case of a 16-year-old boy who presented with persisted pancreatic fistula following initial management including PCD of peripancreatic collection following polytrauma 3 months prior. Magnetic resonance imaging showed a disconnected pancreatic duct. Intraoperatively, there was a disconnected and viable distal pancreas with a defect cavity measuring 2 × 2 cm at the neck of the pancreas. The wall of the cavity was anastomosed with a Roux limb of the jejunum (cavitojejunostomy). Post-operative recovery was uneventful and the patient remains asymptomatic at 2 months of follow-up. Cavitojejunostomy is a feasible and safe surgical option in DPDS with a well-formed cavity. This avoids dissection in difficult anatomical planes and preserves pancreatic parenchyma.

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Published

2021-11-28

Issue

Section

Case Report

How to Cite

Cavitojejunostomy for post-traumatic disconnected pancreatic duct syndrome presenting as persistent external pancreatic fistula: A case report. (2021). Indian Journal of Case Reports, 7(11), 497-499. https://doi.org/10.32677/ijcr.v7i11.3131

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