ISOLATED PANCREATIC INJURY IN BLUNT ABDOMINAL TRAUMA.

The pancreas is an organ that is rarely injured in trauma due to its retroperitoneal location. Isolated pancreatic injury in blunt trauma occurs in only 0.5% of cases. Mortality rates are 23.4% and 30.2% for blunt and penetrating trauma, respectively. The management of pancreatic injury, whether conservative or surgical, is determined by the extent of the damaged parenchyma, the location of the injury, and the integrity of the main pancreatic duct (MPD), which is classified into five grades proposed by the American Association for the Surgery of Trauma (AAST). We present a case report of a 34-year-old male with blunt pancreatic trauma. The injury was classified as grade III; however, surgical treatment was not adopted, and conservative management was implemented alongside Video-Assisted Retroperitoneal Debridement (VARD) for infected pancreatic necrosis. This approach resulted in the resolution of sepsis and abdominal collections, and at six months post-discharge, the patient exhibited normal laboratory values, no pancreatic insufficiency or other metabolic disorders, and magnetic resonance imaging showed only sequelae from the primary condition.