Figure 2. On exploratory laparotomy, the first portion of the duodenum shows disruption of 80% of the circumference of the pancreas, and the pancreas was transected at the neck with hematoma formation. After removal of the hematoma, the distal stump of the pancreas was dissected and detached from the splenic vein to make an anastomosis with the posterior wall of the stomach. PV: portal vein.