Emergency pancreaticoduodenectomy with delayed reconstruction can be performed as a life saving procedurein case of massive bleeding uncontrolled with conventional hemostatic techniques. The authors reportherein the case of a 39-yr-old patient with an acute episode of chronic pancreatitis-induced massive bleedingsuccessfully treated by this unorthodox technique.The concept of damage control surgery with abbreviated laparotomy and planned reconstruction couldbe useful in selected cases outside the trauma setting.