Emergency Pancreaticoduodenectomy in a Non-Trauma Setting: A Rare Procedure with Rare Indications – Case Report and Review of Literature

Pancreaticoduodenectomy (PD) is a major procedure with high morbidity even in elective settings. Emergency pancreaticoduodenectomy (EPD) is a rare procedure, reported mostly for traumatic injury to pancreas, duodenum, or surrounding structures. It is an extremely rare procedure performed in a non-trauma setting, constituting 0.3%-3% of total PDs. EPD carries significant morbidity and mortality, thus presenting a major challenge for the surgeon and patient. In non-traumatic settings, it is further challenging for both the patient and surgeon, as these the patients are in a compromised condition due to associated conditions such as sepsis, bleeding, malignancy, etc. Very few cases have been reported in the literature where EPD has been performed in nontraumatic settings, with different methods of management and varying outcomes. We report one such case that was managed as a two-stage procedure and the patient recovered very smoothly.