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Surgery
A 19-year-old man fell off his skateboard, repoing blunt injury to his upper abdomen. Abdominal CT and magnetic resonance cholangiopancreatography (MRCP) confirmed he suffered transection of the main pancreatic duct at the middle of the pancreatic body. Which of the following would be the most appropriate next step in management?
Nonoperative treatment
Endoscopic retrograde cholangiopancreatography (ERCP) with stenting of pancreatic duct
Distal pancreatectomy with splenic preservation
Primary repair of pancreatic duct with closed suction drainage
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