In Trauma Expect the Unexpected - A Case Report on Post-Traumatic Pancreatitis Associated with Superior Mesenteric Artery Pseudoaneurysm in Spinopelvic Fracture.

Introduction: Pancreatic injuries resulting from trauma in cases involving spine fractures are extremely rare and often go unnoticed, particularly in patients with complex polytrauma. A literature search did not yield any similar reported cases. Case Report: A 50-year-old male presented with polytrauma, including pelvis and spine fractures, post-traumatic pancreatitis, and a pseudoaneurysm of the superior mesenteric artery (SMA). The patient underwent open reduction and internal fixation for the fractures, followed by conservative management for pancreatitis. The pseudoaneurysm, identified through digital subtraction angiography, was treated with microcatheterization and micro-coiling in an interventional suite. The case presented unique challenges, successfully managed with a multidisciplinary approach. Conclusion: Severely injured polytrauma patients demand a multidisciplinary approach, advanced expertise, and state-of-the-art facilities. This case highlights a rare post-traumatic pancreatitis with SMA pseudoaneurysm, successfully managed alongside spine and pelvis fractures.