Pancreatic Laceration in a Pediatric Patient: An Unexpected Diagnosis
Pediatric pancreatic injuries are rare. We present an atypical case that occurred in a 4-year-old male. The child presented with a twenty-four-hour history of vomiting that had progressed to right lower quadrant abdominal pain on examination in the emergency department. The initial differential was...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2017/2681835 |
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| author | Michelle J. Hong Lauren M. Porter Debra D. Esernio-Jenssen Andrew C. Miller Marna Rayl Greenberg |
| author_facet | Michelle J. Hong Lauren M. Porter Debra D. Esernio-Jenssen Andrew C. Miller Marna Rayl Greenberg |
| author_sort | Michelle J. Hong |
| collection | DOAJ |
| description | Pediatric pancreatic injuries are rare. We present an atypical case that occurred in a 4-year-old male. The child presented with a twenty-four-hour history of vomiting that had progressed to right lower quadrant abdominal pain on examination in the emergency department. The initial differential was gastroenteritis versus appendicitis. An abnormality on the ultrasonography and an elevated lipase level eventually led to an MRI showing a complete transection through the posterior margin of the pancreas. The patient was admitted to pediatric surgery and underwent a successful distal pancreatectomy with preservation of the spleen. On further inquiry specific to trauma, the child disclosed that his older brother had punched him in his abdomen the night before. The child’s parents were separated due to intimate partner violence, and this older sibling recently had been very stressed. The sibling was referred for mental health evaluation and counseling, and the case reported to the county children and youth investigative services system. A low threshold for considering trauma and child abuse in the pediatric population is recommended when significant intra-abdominal injury is diagnosed. |
| format | Article |
| id | doaj-art-af2cfc8403094dc8878ad20464f180e3 |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-af2cfc8403094dc8878ad20464f180e32025-02-03T05:47:21ZengWileyCase Reports in Pediatrics2090-68032090-68112017-01-01201710.1155/2017/26818352681835Pancreatic Laceration in a Pediatric Patient: An Unexpected DiagnosisMichelle J. Hong0Lauren M. Porter1Debra D. Esernio-Jenssen2Andrew C. Miller3Marna Rayl Greenberg4Department of Emergency Medicine, Lehigh Valley Hospital and Health Network, USF MCOM, CC & I-78, Allentown, PA 18103, USADepartment of Emergency Medicine, Lehigh Valley Hospital and Health Network, USF MCOM, CC & I-78, Allentown, PA 18103, USADepartment of Pediatrics, Lehigh Valley Hospital and Health Network, USF MCOM, CC & I-78, Allentown, PA 18103, USADepartment of Emergency Medicine, Lehigh Valley Hospital and Health Network, USF MCOM, CC & I-78, Allentown, PA 18103, USADepartment of Emergency Medicine, Lehigh Valley Hospital and Health Network, USF MCOM, CC & I-78, Allentown, PA 18103, USAPediatric pancreatic injuries are rare. We present an atypical case that occurred in a 4-year-old male. The child presented with a twenty-four-hour history of vomiting that had progressed to right lower quadrant abdominal pain on examination in the emergency department. The initial differential was gastroenteritis versus appendicitis. An abnormality on the ultrasonography and an elevated lipase level eventually led to an MRI showing a complete transection through the posterior margin of the pancreas. The patient was admitted to pediatric surgery and underwent a successful distal pancreatectomy with preservation of the spleen. On further inquiry specific to trauma, the child disclosed that his older brother had punched him in his abdomen the night before. The child’s parents were separated due to intimate partner violence, and this older sibling recently had been very stressed. The sibling was referred for mental health evaluation and counseling, and the case reported to the county children and youth investigative services system. A low threshold for considering trauma and child abuse in the pediatric population is recommended when significant intra-abdominal injury is diagnosed.http://dx.doi.org/10.1155/2017/2681835 |
| spellingShingle | Michelle J. Hong Lauren M. Porter Debra D. Esernio-Jenssen Andrew C. Miller Marna Rayl Greenberg Pancreatic Laceration in a Pediatric Patient: An Unexpected Diagnosis Case Reports in Pediatrics |
| title | Pancreatic Laceration in a Pediatric Patient: An Unexpected Diagnosis |
| title_full | Pancreatic Laceration in a Pediatric Patient: An Unexpected Diagnosis |
| title_fullStr | Pancreatic Laceration in a Pediatric Patient: An Unexpected Diagnosis |
| title_full_unstemmed | Pancreatic Laceration in a Pediatric Patient: An Unexpected Diagnosis |
| title_short | Pancreatic Laceration in a Pediatric Patient: An Unexpected Diagnosis |
| title_sort | pancreatic laceration in a pediatric patient an unexpected diagnosis |
| url | http://dx.doi.org/10.1155/2017/2681835 |
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