Management of Traumatic Complete Pancreatic Fracture in a Child: Case Report and Review of Literature

Abstract

Magnification of laparoscopic technique allowed us to identify the structures much better than open surgery.

Early management of traumatic pancreatic transection by spleen-preserving laparoscopic distal pancreatectomy

“…The third report was that of 7-year-old child initially managed conservatively after traumatic pancreatic duct disruption. After development of a pseudocyst, a laparoscopic distal pancreatectomy was performed 3 months thereafter [20].Conservative initial management equated to several weeks of total parental nutrition and a prolonged course of antibiotics. Although a delay in treatment was advocated by the authors of that report, we do not advocate a delay in surgical therapy once pancreatic duct disruption is identified.…”

Conservative surgery for pancreatic neck transection

“…These procedures are also associated with postoperative PF or intra-abdominal collections secondary to anastomotic leak and other complications associated with leak. Traditional approach for pancreatic neck transection is distal pancreatectomy with or without splenectomy (11,12). This leads to sacrifice of normal pancreas which in long-term may be associated with exocrine insufficiency.…”

Blunt pancreatic trauma in children

“…The fi rst report of a laparoscopic distal pancreatectomy with a satisfactory outcome in a child with complete duct disruption was published recently. 43 An algorithm illustrating the diagnostic and therapeutic approach to a pediatric patient with a suspected Fig. 3.…”