Pancreaticoduodenal Injuries: Re-Evaluating Current Management Approaches (Trauma) (Clinical Report‪)‬

Pancreaticoduodenal injuries are uncommon owing to the relatively protected retroperitoneal position of both pancreas and duodenum. (1) These injuries are usually associated with multiple intra-abdominal injuries, (1,2) especially with vascular injuries (27.6%), which are responsible for early mortality. (3-5) Pancreatic and duodenal injuries may initially only present with subtle clinical signs because of their retroperitoneal positioning; consequently, a high index of suspicion is required when making the diagnosis, and these injuries may therefore often be responsible for late mortality owing to sepsis and its complications. (4)