Intraoperative endoscopic retrograde cholangiopancreatography for traumatic pancreatic ductal injuries: Two case reports

Figure 1 Computed tomography of the abdomen demonstrating bullet shrapnel involving the proximal duodenum and the pancreatic head (arrow).

Figure 2 Computed tomography of the abdomen revealing a full-thickness pancreatic transection involving the proximal tail and neck (arrow).

Figure 3 Endoscopic retrograde cholangiopancreatography fluoroscopy showing a ventral pancreatic ductal leak in the head of the pancreas (arrow).

Figure 4 Intraoperative endoscopic retrograde cholangiopancreatography. A and B: Endoscopic view following placement of an angled Visiglide wire into the ventral pancreatic duct (A) and placement of a plastic stent in the dorsal pancreatic duct (B).

Figure 5 Endoscopic view of the pancreatic sphincterotomy and pancreatic duct plastic stent placement. A: Pancreatic sphincterotomy; B: Pancreatic duct plastic stent placement.

Figure 6 Endoscopic retrograde cholangiopancreatography fluoroscopic view demonstrating a dorsal pancreatic ductal leak (arrow).

Figure 7 Intraoperative photo confirming following placement of the pancreatic ductal stent.