{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:31:46Z","timestamp":1777447906653,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T00:00:00Z","timestamp":1629158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:p>Isolated pancreatic injury with transection of the pancreatic duct is generally treated with pancreatic resection, but the optimal management is not based on high-level evidence. Herein, we report a case of primary repair of complete rupture of the pancreas and pancreatic duct after a blunt abdominal trauma and a review of the literature. A 33-year-old patient had an isolated pancreatic injury after blunt abdominal trauma. At laparotomy, an even transection was found with minimal necrosis and tissue loss and an end-to-end anastomosis of the duct and the parenchyma with omental patch was performed. Patient\u2019s postoperative course was complicated by a 6\u00a0cm pseudocyst and a low output pancreatic fistula which did not require any intervention and were self-limited. In the literature, 17 cases with primary repair of similar grade IV pancreatic injuries have been reported. Postoperative complications included mostly fistulas and pseudocysts.<\/jats:p>","DOI":"10.1177\/00031348211038566","type":"journal-article","created":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T11:02:53Z","timestamp":1629198173000},"page":"4895-4898","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Primary Repair of Traumatic Complete Pancreatic Rupture"],"prefix":"10.1177","volume":"89","author":[{"given":"Maria","family":"Venianaki","sequence":"first","affiliation":[{"name":"Department of Surgery, University Hospital of Heraklion, Heraklion, Crete, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Despoina","family":"Ierodiakonou","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital of Heraklion, Heraklion, Crete, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evangelia","family":"Chryssou","sequence":"additional","affiliation":[{"name":"Department of Radiology, University Hospital of Heraklion, Heraklion, Crete, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuel","family":"Chrysos","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital of Heraklion, Heraklion, Crete, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgios","family":"Chalkiadakis","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital of Heraklion, Heraklion, Crete, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantinos","family":"Lasithiotakis","sequence":"additional","affiliation":[{"name":"Department of Surgery, University Hospital of Heraklion, Heraklion, Crete, 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