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Complete Traumatic Rupture of the Pancreas - Pancreas Preserving Reconstruction. a Non-Resectional Procedure Using Pancreatogastrostomy and a Modified "Blumgart" Anastomosis
Hannes P. Neeff*, Frank Makowiec, Tobias Keck, Ulrich T. Hopt
Department of Surgery, University of Freiburg, Freiburg, Germany

We present a case of a 23 yo female with an isolated central pancreatic rupture. Since diagnosis was made early, a non-resectional procedure could be performed. The remnant of the pancreatic tail was managed using pancreatogastrostomy for exocrine drainage. The central surface of the pancreatic head was treated using a serosal patch of jejunum in order to prevent leakage. The anastomosis was carried out in a modified "Blumgart" fashion. Recovery was uneventful and exocrine and endocrine function could be completely preserved in this young female adult. The video was recorded from the surgeon’s point of view with an overhead camera.


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