Blunt abdominal trauma resulting in pancreatic injury in a pediatric patient in Australia: a case report
Pancreatic trauma from a blunt injury is fairly uncommon in the pediatric population. Furthermore, such trauma with associated disruption of the pancreatic duct (PD) is even less prevalent and is associated with high morbidity and mortality. Pancreatic injuries in the pediatric population are often...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2023-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2023-0013.pdf |
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| author | Harmanjit Dev Colin Kikiros |
| author_facet | Harmanjit Dev Colin Kikiros |
| author_sort | Harmanjit Dev |
| collection | DOAJ |
| description | Pancreatic trauma from a blunt injury is fairly uncommon in the pediatric population. Furthermore, such trauma with associated disruption of the pancreatic duct (PD) is even less prevalent and is associated with high morbidity and mortality. Pancreatic injuries in the pediatric population are often missed and hence require a thorough workup in children presenting with any form of abdominal injury. This case report describes a young boy who presented with abdominal pain and did not initially inform medical staff about any injury. For this reason, his initial provisional diagnosis was appendicitis, but he was later found to have transection of the pancreas with injury to the PD on imaging. The management of such injuries in pediatric patients often poses a challenge due to a lack of pediatric physicians trained to perform interventions such as endoscopic retrograde cholangiopancreatography. Furthermore, such interventions carry a higher risk when performed on children due to the smaller size of their pancreatic ducts. As a result, our patient had to be transferred to an adult center to undergo this procedure. Thus, maintaining a high degree of suspicion, along with a detailed history and examination, is crucial for the early diagnosis and management of pancreatic injuries. |
| format | Article |
| id | doaj-art-7d824c8afa2f406fbd1fdd4e2e78f17a |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2023-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-7d824c8afa2f406fbd1fdd4e2e78f17a2025-01-16T05:40:01ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-09-0136331031410.20408/jti.2023.00131257Blunt abdominal trauma resulting in pancreatic injury in a pediatric patient in Australia: a case reportHarmanjit Dev0Colin Kikiros1 Department of Paediatric Surgery, Perth Children’s Hospital, Nedlands, WA, Australia Department of Paediatric Surgery, Perth Children’s Hospital, Nedlands, WA, AustraliaPancreatic trauma from a blunt injury is fairly uncommon in the pediatric population. Furthermore, such trauma with associated disruption of the pancreatic duct (PD) is even less prevalent and is associated with high morbidity and mortality. Pancreatic injuries in the pediatric population are often missed and hence require a thorough workup in children presenting with any form of abdominal injury. This case report describes a young boy who presented with abdominal pain and did not initially inform medical staff about any injury. For this reason, his initial provisional diagnosis was appendicitis, but he was later found to have transection of the pancreas with injury to the PD on imaging. The management of such injuries in pediatric patients often poses a challenge due to a lack of pediatric physicians trained to perform interventions such as endoscopic retrograde cholangiopancreatography. Furthermore, such interventions carry a higher risk when performed on children due to the smaller size of their pancreatic ducts. As a result, our patient had to be transferred to an adult center to undergo this procedure. Thus, maintaining a high degree of suspicion, along with a detailed history and examination, is crucial for the early diagnosis and management of pancreatic injuries.http://jtraumainj.org/upload/pdf/jti-2023-0013.pdfpancreaspancreatic traumabile ductabdominal injuriescase reports |
| spellingShingle | Harmanjit Dev Colin Kikiros Blunt abdominal trauma resulting in pancreatic injury in a pediatric patient in Australia: a case report Journal of Trauma and Injury pancreas pancreatic trauma bile duct abdominal injuries case reports |
| title | Blunt abdominal trauma resulting in pancreatic injury in a pediatric patient in Australia: a case report |
| title_full | Blunt abdominal trauma resulting in pancreatic injury in a pediatric patient in Australia: a case report |
| title_fullStr | Blunt abdominal trauma resulting in pancreatic injury in a pediatric patient in Australia: a case report |
| title_full_unstemmed | Blunt abdominal trauma resulting in pancreatic injury in a pediatric patient in Australia: a case report |
| title_short | Blunt abdominal trauma resulting in pancreatic injury in a pediatric patient in Australia: a case report |
| title_sort | blunt abdominal trauma resulting in pancreatic injury in a pediatric patient in australia a case report |
| topic | pancreas pancreatic trauma bile duct abdominal injuries case reports |
| url | http://jtraumainj.org/upload/pdf/jti-2023-0013.pdf |
| work_keys_str_mv | AT harmanjitdev bluntabdominaltraumaresultinginpancreaticinjuryinapediatricpatientinaustraliaacasereport AT colinkikiros bluntabdominaltraumaresultinginpancreaticinjuryinapediatricpatientinaustraliaacasereport |