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Highlights The travails in the management of complex duodenal injuries is well known among the surgical fraternity. We here present a salvage technique of primary reinforcement with pedicled rectus abdominis muscle flap (RAMF) for a tenuous post traumatic duodenal perforation (PTDP) of the second part. The majority of the studies in the literature are on the use RAMF for the repair of duodenal fistulas following failed primary repair of peptic perforations of first part of duodenum. Reinforcement with RAMF is a useful rescue technique when the omentum is not available and other simpler techniques are not feasible in the primary repair setting.

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Highlights Pancreatic schwannomas are very rare neoplasm arising from Schwann cells that present in the nerve sheath. Approximately only 50 cases reported in the literature. Although the incidence of pancreatic schwannoma is low, it must be considered as one possibility in the differential diagnosis of mass lesions in the pancreas. Whenever possible especially in large tumors surgical resections should be considered as an option due to increased chance of transformation to malignancy.