PMC4090977_01
CECT abdomen showing laceration at the neck of the pancreas (arrow)
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F1
Contrast-enhanced computed tomography (CECT) scan of the abdomen showed laceration of pancreas at neck with injury of the pancreatic duct [Figure 1].
Intraoperative photograph showing laceration of the pancreas (arrow)
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F2
However, the posterior surface of the pancreas was preserved at the site of laceration [Figure 2].
Anterior pancreatico-jejunostomy being done
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F3
An anterior Roux-en-Y pancreatico-jejunostomy was done at the lacerated site of the pancreas [Figure 3].
PMC4090977_02
CECT abdomen showing laceration of the pancreas (arrow)
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F4
CECT abdomen showed laceration at the neck of pancreas with surrounding hematoma and disruption of the pancreatic duct [Figure 4].
Intraoperative photograph showing lacerated pancreas. Pancreatic duct is shown cannulated with feeding tube
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F5
On exploratory laparotomy, laceration of 1.5 cm x 1 cm x 1.5 cm was found at the neck of the pancreas with disrupted pancreatic duct but intact posterior surface of the pancreas at the lacerated site [Figure 5].
Anterior pancreatico-jejunostomy done at the lacerated site
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F6
Anterior Roux-en-Y pancreatico-jejunostomy was done with suturing of edges of the laceration of pancreas to the side of Roux-en-Y loop of the jejunum [Figure 6].