Spleen preserving distal pancreatectomy in an isolated blunt pancreatic trauma

World J Gastrointest Surg. 2011 Sep 27;3(9):138-41. doi: 10.4240/wjgs.v3.i9.138.


Blunt isolated pancreatic trauma is uncommon, accounting for 1%-4% of high impact abdominal injuries. In addition, its diagnosis can be difficult; physical signs may be poor and laboratory findings nonspecific, resulting in delayed treatment. Preserving the spleen during distal pancreatectomy (DP) is controversial. One of the spleen's functions regards immunity; complications following splenectomy include leukocytosis, thrombocytosis, overwhelming post splenectomy sepsis and some degree of immunodeficiency. This is why many authors favor its preservation. We describe a case of a young man with an isolated pancreatic trauma due to a blunt abdominal trauma with a delayed presentation who was treated with spleen-preserving DP and we discuss the value of this procedure with reference to the literature.

Keywords: Blunt abdominal trauma; Distal pancreatectomy; Isolated pancreatic trauma; Spleen preservation; Splenectomy.