(A) Intraoperative view after opening of the lesser sac with the stomach (S) lifted upwards. Note the complete rupture of the pancreas (PH: head of the pancreas; PT: tail of the pancreas). The hematoma (H) accompanying the injury is still in place. (B) The pancreatic duct was closed by a stitch (4-0 Maxon), and the pancreatic head (PH) was oversewn next to the superior mesenteric vein (SMV), which lay open after the hematoma was removed. PT: pancreatic tail; PV: portal vein; S: stomach; SV: splenic vein. (C) This photograph was taken after the tail of the pancreas (PT) was anastomosed as pancreaticojejunostomy (PJ) (two layers) with a Roux-en-Y isolated jejunal loop that was brought to the pancreas behind the transverse colon. S: stomach.