Abstract
Simultaneous injury of the duodenum and head of the pancreas and severe injury to either structure alone, are attended by high morbidity and mortality. Either penetrating wounds or blunt trauma may produce sufficient tissue destruction to necessitate removal of the head of the pancreas or duodenum with diversion of biliary, pancreatic, and alimentary flow. Although application of such extensive procedures has been advocated, and experimental studies have proved their efficacy, there are only six well documented cases on the use of pancreaticoduodenectomy for extensive trauma. This report details three additional cases. Two patients were injured by high velocity missiles and a third by the steering wheel of an automobile.
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