Isolated pancreatic injury following blunt abdominal trauma in a child

Abstract

Pancreatic injury following blunt abdominal trauma is rare as compared to other visceral organs. Isolated injury to the pancreas is even more rare. The clinical presentation is subtle resulting in delayed treatment with high morbidity and mortality. A three-year-old female child presented with vomiting 18h following a motor vehicle accident. She was hemodynamically stable with no external signs of injury. Investigations revealed hyperamylasemia and isolated grade III pancreatic injury. Laparotomy with distal pancreatic resection and splenectomy was done. A high degree of clinical suspicion with due consideration to the mechanism of injury is the key to good outcome in these patients. Major ductal injury is the critical issue in the management and a number of therapeutic choices are available speciÞ c to the location of the insult.

Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines

“…Clinical signs of traumatic DI are highly non-specific, especially in the early post-traumatic period. Patients usually present with epigastric, right upper quadrant, or back pain 6–24 h after the injury, but the onset of pain has been reported as late as 5 days after injury [24, 25]. The most common test is the analysis of serum amylase and lipase [26].…”