{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:10:25Z","timestamp":1756278625202,"version":"3.44.0"},"reference-count":22,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,6,3]]},"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>Pancreatic injuries are often overlooked in view of subtle clinical signs, and high index of suspicion is required to manage these injuries. Management strategies vary depending on the grade of injury and associated solid organ injuries and vascular injuries. Early surgery is advised in patients with duct disruption to avoid complications related to duct disruption. We present a case of 19-year-old man with delayed presentation following pancreatic trauma. During the surgery, changes of pancreatitis were noted and posterior wall of the stomach was adherent to pancreas, and inflammatory changes in vicinity of pancreas posed a significant challenge while dissecting pancreas away from the splenic vein. Spleen-preserving distal pancreatectomty (SPDP) was done. SPDP is time-consuming and technically challenging procedure especially in patients with delayed presentation. It is safe and feasible to consider spleen preservation in pancreatic trauma when patient is haemodynamically stable and expertise is available.<\/jats:p>","DOI":"10.1136\/bcr-2021-242721","type":"journal-article","created":{"date-parts":[[2021,6,23]],"date-time":"2021-06-23T11:53:39Z","timestamp":1624449219000},"page":"e242721","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Spleen-preserving distal pancreatectomy following grade III pancreatic injury in a delayed presentation: a technical challenge"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9368-934X","authenticated-orcid":false,"given":"Venu Bhargava","family":"Mulpuri","sequence":"first","affiliation":[{"name":"Department of Surgical Gastoenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dinesh Kumar","family":"Bhuria","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastoenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Surinder","family":"Rana","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6585-1725","authenticated-orcid":false,"given":"Rajesh","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastoenterology, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,6,23]]},"reference":[{"key":"2025082623464507000_14.6.e242721.1","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.1016\/j.hpb.2018.05.009","article-title":"Clinical update on management of pancreatic trauma","volume":"20","author":"S\u00f8reide","year":"2018","journal-title":"HPB"},{"key":"2025082623464507000_14.6.e242721.2","doi-asserted-by":"crossref","first-page":"470","DOI":"10.21037\/hbsn.2016.07.01","article-title":"Conservative and surgical management of pancreatic trauma in adult patients","volume":"5","author":"Menahem","year":"2016","journal-title":"Hepatobiliary Surg Nutr"},{"key":"2025082623464507000_14.6.e242721.3","first-page":"47","article-title":"Traumatic transection of the pancreas. 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