Introduction : Laparoscopic distal pancreatectomy is widely performed for various pancreatic disease. However, laparoscopic approach in traum patients is still not popular. Herein, we present a case of pancreas neck transection, successfully managed with laparoscopic Warshaw’s operation.

Methods : A 23-year-old man referred to our hospital with a severe abdominal pain after a handlebar injury secondary to a bike accident. On physical examination, severe tenderness and rebound tenderness observed on upper abdomen. He was hemodynamically stable. An abdominal CT scan demonstrated a transected pancreatic neck. Laboratory evaluation showed that hemoglobin was within normal limit, but amylase and lipase were elevated remarkably. An emergency operation was performed.

Results : Moderate amount of hematome was seen in the lesser sac. Pancreatic parenchym was swollen diffusly. Pancreas neck was transected about 80% of thickness. Pancreas neck was identified and resected with endo-GIA, just proximal to injured level. It was impossible to dissect the splenic vessels from pancreatic body because of diffuse pancreatitis. A laparosocpic Warshaw’s operation was performed. After the operation, grade I pancreatic fistula was observed, however, no more additional procedure or intervention was needed. He recovered well and discharge on postoperatie day 21.

Conclusions : In the proper trauma patient, a laparoscopic distal pancreatectomy can be performed with feasibility and safety.