Blunt abdominal trauma in an 18-year-old woman

The integrity of the main pancreatic duct (MPD) is the most important determinant of outcome after pancreatic injury from blunt abdominal trauma. Endoscopic retrograde pancreatography (ERP) is the most accurate diagnostic tool and may moreover provide a minimally invasive therapy. We report on stenting in MPD rupture in an 18-year-old woman. Total pancreatic disruption was suspected on the initial CT. Emergency ERP revealed MPD leakage confined to the parenchyma. A transpapillary stent was wire-guided inserted into the intact duct of the distal section, bridging the disruption. The patient was managed conservatively and recovered completely. The stent was removed after 6 weeks. This case report demonstrates that pancreatic resection can be avoided by endoscopic treatment.