ROLE OF PERCUTANEOUS DRAINAGE IN HIGH GRADE PANCREATIC TRAUMA – A RETROSPECTIVE ANALYSIS FROM A LEVEL 1 TRAUMA CENTRE. drnarendrakumar@kgmcindia.edu

 

ROLE OF PERCUTANEOUS DRAINAGE IN HIGH GRADE PANCREATIC TRAUMA – A RETROSPECTIVE ANALYSIS FROM A LEVEL 1 TRAUMA CENTRE.

6

 

 

 

 

India

Oral or Poster

Traumatic pancreatic injuries are rare, with an incidence of 0.4%–12%. Due to the pancreas's retroperitoneal location, these injuries are often missed and may lead to complications such as acute fluid collections, pseudo-cyst, and obstruction. Management ranges from conservative treatment to complex surgeries, each with associated risks. The role of percutaneous drainage in high-grade pancreatic trauma remains debated due to the risk of external pancreatic fistulas. However, it is sometimes considered in patients presenting late with severe symptoms. This study evaluates the outcomes of percutaneous drainage in high-grade pancreatic trauma at a Level 1 trauma center.

A retrospective review was conducted on patients undergoing percutaneous drainage for high-grade pancreatic trauma (AAST Grade 3–5) between January 1, 2018, and December 31, 2024. Data collected included demographics, mechanism of injury, AAST grade, indications for drainage, and outcomes.

Sixty six patients with pancreatic trauma, most were young (4–60 years), with a peak incidence between 10 and 22 years. Males accounted for 83% of cases. Road traffic incidents (40%) were the leading cause, followed by falls and cycle-related injuries. AAST Grade 3 injuries were most common (43%), while Grades 4 and 5 accounted for 27% and 9%, respectively.

Percutaneous drainage may be a viable option for managing high-grade pancreatic trauma with complications such as sub-acute obstruction or sepsis. Further research is needed to establish standardized guidelines for its use.