Management of Severe Pancreaticoduodenal Injuries

  • Tanka Prasad Bohara Kathmandu Medical College Teaching Hospital
  • Mukund Raj Joshi Kathmandu Medical College Teaching Hospital
  • Anuj Parajuli Kathmandu Medical College Teaching Hospital
  • Gausan Ratna Bajracharya Kathmandu Medical College Teaching Hospital


Severe pancreaticoduodenal injuries are rare and no surgeon and institute get enough number of cases to acquire expertise. Hence the management of such injuries remains controversial. We report a case of 28 years male who sustained a severe pancreaticoduodenal injury and was managed with emergency pancreaticoduodenectomy with immediate reconstruction. Various approach has been described in literature with variable outcome. Damage control strategy seems to be most useful approach and major resection should be a part of debridement whenever required. Immediate reconstruction can be carried out safely if patient remain hemodynamically and metabolically stable.

Author Biographies

Tanka Prasad Bohara, Kathmandu Medical College Teaching Hospital
Mukund Raj Joshi, Kathmandu Medical College Teaching Hospital
Associate Professor
Anuj Parajuli, Kathmandu Medical College Teaching Hospital
Gausan Ratna Bajracharya, Kathmandu Medical College Teaching Hospital
Medical Officer


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How to Cite
Bohara, T. P., Joshi, M. R., Parajuli, A., & Bajracharya, G. R. (2014). Management of Severe Pancreaticoduodenal Injuries. Journal of Nepal Medical Association, 52(193), 719-722.
Case Reports