Conservative surgery of the pancreas in complete traumatic sections of the Wirsung duct in children. Apropos of 2 cases
Prévot, J.; de Miscault, G.; Schmitt, M.
Chirurgie; Memoires de l'Academie de Chirurgie 119(9): 469-472
1993
ISSN/ISBN: 0001-4001 PMID: 7729189 Document Number: 420528
A unanimous consensus has been achieved indicating the requirement of left pancreatectomy after complete ruptures of the body of the pancreas in the child. Nevertheless, exeresis of the entire left part of the pancreas has severe long-term consequences, especially if a small part of the gland is not left in place after the rupture. We report two cases of complete rupture of the isthma of the pancreas in two children who were treated by suture of the Wirsung and of the pancreas, followed by drainage. The drain dropped off early in both cases but did not hinder cicatrisation. Follow-up examinations were completely normal after a 12-year follow up in the first case and after 10 months in the second.