ASSESSMENT OF PANCREATIC DUCT DAMAGE FOLLOWING TRAUMA - IS ENDOSCOPICRETROGRADE CHOLANGIOPANCREATOGRAPHY THE GOLD STANDARD

A 12-year-old girl was admitted as an emergency with blunt pancreatic trauma. Computed tomography (CT) showed an intact pancreas. She failed conservative treatment. Endoscopic retrograde cholangiopancreatograph y (ERCP) demonstrated division of the pancreatic duct at the neck of p ancreas. At laparotomy, however, there was complete necrosis of the pa ncreatic head. She recovered well following enteric drainage of the bo dy of pancreas. CT and ERCP are considered the optimal imaging for pan creatic trauma but the findings may be misleading.