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[Indirect blast rupture of the pancreas with a primary unperforated blast injury of the duodenum].

BACKGROUND
To present a patient with an indirect blast rupture of the head of pancreas, as well as with a blast contusion of the duodenum following abdominal gunshot injury.


CASE REPORT
A patient with the abdominal gunshot injury was submitted to the management of the injury of the liver, gaster and the right kidney in the field hospital. The revealed rupture of the head of the pancreas and the contusion of the duodenum were managed applying the method of Whipple.


CONCLUSION
Indirect blast injuries require extensive surgical interventions, especially under war conditions.