HYBRID EVENT: You can participate in person at Paris, France or Virtually from your home or work.

3rd Edition of Global Conference on Surgery and Anesthesia

September 14-15, 2022 | Hybrid Event

September 14 -15, 2022 | Paris, France
GCSA 2021

An optimized management outcome of a challenging late intervention of pancreatic neck transection; a case report and mini-review

Selmy S Awad, Speaker at Surgery Conferences
Mansoura University, Egypt
Title : An optimized management outcome of a challenging late intervention of pancreatic neck transection; a case report and mini-review


Background: The high-grade pancreatic injury including pancreatic transection is a challenging issue in management carrying high morbidity and mortality. Pancreatic injuries result in significant mortality, mainly because of associated injuries and pancreas-specific morbidity. The late surgical intervention till a week after the accident would be highly challenging carrying a higher probability of morbidity and mortality. There is no consensus on which management strategies result in the most favorable outcomes. Herein, we will present this case report of pancreatic transection with late intervention who had an optimized approach of diagnosis and treatment to reach the best outcome.

Case presentation: Pancreatic fracture in a 23-year-old car crash victim who was undergone surgical intervention after one week of the accident. The patient had been optimized in the approach of diagnosis and treatment till he passed with no residual complication till 2-year follow-up.

Conclusions: the updated guidelines in conjunction with the teamwork helped us in the clinical management of this case report, and although they weren't used to replace clinical judgment, they were extremely useful for decision-making. There are higher attributable morbidity and mortality rates for injuries involving the pancreatic duct, as well as the potential for deterioration if treatment is delayed, and literature supports resection in these cases. Repetition of CT or its combination with MRCP is highly advisable in diagnosis. The use of MRCP is also recommended for the purpose of diagnostic confirmation, biliary and pancreatic drainage and stenting, and intraoperative guide for pancreatic duct identification and control. The enteral access is very beneficial for the patient support in such cases.


Dr. Selmy studied MBBS at faculty of medicine, Mansoura University, Egypt and graduated as assistant lecturer of general surgery in 2007 after finishing master degree of GS. he then joined the unit of trauma and acute care surgery at Mansoura university hospitals, Mansoura, Egypt. He received his MD degree in 2012 at the same institution to be a lecturer of trauma and acute care surgery. He obtained the position of an Associate Professor at the same institution till now. He has published more than 24 research articles in different international journals. He obtained the position of a consultant of GS at king Faisal medical complex, Taif, KSA as a temporary contract.