Case A 30‐year‐old male involved in a traffic accident was brought to our hospital. He was in shock with a rigid abdomen, and a computed tomography scan showed severe pancreatoduodenal injury. He was successfully treated with damage control surgery consisting of peripancreatic packing at the initial surgery followed by a two‐stage pancreaticoduodenectomy. Outcome The postoperative course was complicated by a hepatic abscess, but there were no pancreaticoduodenectomy‐related complications. The patient was transferred to a local hospital on postoperative day 55. Conclusion Three step strategy consisting of peripancreatic packing followed by a two‐stage pancreaticoduodenectomy is an effective treatment strategy for severe pancreatoduodenal injury.
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