ORIGINAL ARTICLE Multiple Pancreaticoduodenal Penetrating Gunshot Trauma Evolving into Acute Necrotizing Pancreatitis. A Combined Surgical and Minimally Invasive Approach

Context Shotgun injuries are the cause of increasing surgical problems related to the proliferation of firearms. Gunshot pancreaticoduodenal traumas are unusual in urban trauma units. Their management remains complex because of the absence of standardized, universal guidelines for treatment and the high incidence of associated lesions of major vessels as well as of other gastrointestinal structures. Surgical treatment is still controversial, and the possibilities offered by the safe and effective mini-invasive techniques seem to open new, articulated perspectives for the treatment o