Retrospective study of a series of 30 patients (mean age: 25.5 years), incl
uding 8 children with severe duodenopancreatic trauma, treated over a perio
d of 15 years. This series consisted of 14 cases of duodenal perforation, 3
cases of duodenal haematoma, 11 cases of isolated pancreatic lesions (incl
uding 5 isthmic ruptures) and 2 cases of associated duodenal and pancreatic
lesions. Injuries were due to road accidents in 60% of cases. Eight patien
ts were considered to have multiple injuries. Twelve patients required emer
gency surgery. Eighteen were observed in a surgical unit. Two duodenal haem
atomas were operated. Duodenal perforations were operated urgently in 8 cas
es and electively in 6 cases. The surgical procedure consisted of simple su
ture (n = 3), suture combined with diversion (n = 7), or resection-anastomo
sis (n = 4). Five patients with pancreatic contusion were operated, in a co
ntext of acute pancreatitis in four cases and for associated lesions in one
case. Isthmic ruptures were treated by left pancreatic resection. This was
a rare lesion (1.8 to 9% of organ lesions). Duodenal haematomas justify fi
rst-line medical treatment, while duodenal perforations must be operated. T
he presence of a lesion of the pancreatic duct frequently justifies pancrea
tic resection.