Surgical treatment of a patient with pancreatic trauma AAST grade IV

Isolated pancreatic injuries following blunt abdominal trauma are extremely rare and often occur with various complications. Diagnosis is limited by hospital's capabilities and severe clinical status of patients. We present a patient with pancreatic trauma AAST grade IV. Damage to the pancreas was detected intraoperatively. Preoperative examination revealed no specific signs of injury. Hemostasis and irrigation, as well as drainage of abdominal cavity and pancreatic rupture site was performed. Postoperative period was uneventful. Detection of pancreatic trauma, grade of damage and involvement of nearby organs is possible only after laparotomy. Minimally traumatic measures for pancreatic trauma, prevention of postoperative pancreatitis and delayed reconstructive interventions are essential for favorable outcomes.