HIGHLIGHTS
SUMMARY
Emergency pancreatoduodenectomy (EPD) is a rarely reported procedure, performed for complex pancreaticoduodenal injuries, with only a few cases being presented in medical literature. Even though being recognized as a challenging and high-risk procedure, EPD still has an important role in some cases, when less invasive procedures fail to resolve the problem. Classic Whipple EPD was performed in 3 cases and a pylorus preserving EPD was performed in another case; immediate reconstruction was carried out in all cases. The fourth case had complex cardiovascular associated problems, and unfortunately, refused any cardiac surgery; the unfavorable . . .
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