Neoampulla of vater creation to treat traumatic intrapancreatic common bile duct injury

Abstract

Pancreatic and extrahepatic biliary tree traumas are rare traumas, due to specific trauma dynamics. They may require both non-operative and operative management, according to the severity of injury. In the case of operative management, a multidisciplinary approach is crucial to improve clinical outcomes, to reduce complications and to ensure complete management of injuries. The case presented is an example of such a multidisciplinary approach in polytrauma, in which the combination of surgical and endoscopic approach allowed to manage severe common biliary duct and pancreatic head injury, creating a “neoampulla”. This is the first case described in literature of such an approach in common bile duct traumatic injury.