The tarumaitc injuries of the pancreas occur relatively infrequently because the pancreas is retroperitoneal and protected with abdominal wall and other organs, but recently pancreatic trauma is becoming more common, pararelling the increase of trauma in general. The pancreatic injuries such as the liver, spleen, stomach, bowels and kidney and the treatment of these associated injuries often takes precedence over the treatment of pancreatic injury. The preoperative diagnosis of pancreatic injury is very difficult. The diagnostic aids such as serum amylase determination, peritoneal aspiration, and radiography have been used with variable success. If diagnosis is not made early, the severe form of complications, mortality and morbidity rate were increased. The operative manage--ment of the damaged gland would then depend upon the extent, location and type of the lesion.
This report presents 4 patients treated in Pusan National University Hospital between the period of Jan. 1967 and Aug. 1970. All of them were caused by blunt trauma on the abdomen. The 3 cases of pancreatic injuries were associated with other intra-abdominal organs and 1 cases was injured only pancreas. Among 4 cases, each case was treated with transduodenal sphincterotomy and drainage operation, distal pancreatectomy with Roux en-Y anastomosis and splenectomy, distal partial pancreatectomy with Roux en Y anastomosis. The post-operative complication and mortality rate revealed pancreatic fistula in one case and no fatal case have occurred.
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