Nonoperative management of pancreatic injuries in children

Shilyansky, Joel; Sena, Laureen; Kreller, Margaret; Chait, Peter; Babyn, Paul; Filler, Robert M.; Pearl, Richard H.

doi:10.1016/s0022-3468(98)90459-6

Cited by 120 publications

(115 citation statements)

References 18 publications

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“…8 Small asymptomatic pseudocyst of the pancreas are managed conservatively whereas the treatment of persistent, large and symptomatic pseudocyst remains surgical drainage procedures.…”

Section: Resultsmentioning

confidence: 99%

Pancreatic pseudocyst in children: a rare medical entity

Pareek

Agrawal

2016

Int Surg J

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“…8 Small asymptomatic pseudocyst of the pancreas are managed conservatively whereas the treatment of persistent, large and symptomatic pseudocyst remains surgical drainage procedures.…”

Section: Resultsmentioning

confidence: 99%

Pancreatic pseudocyst in children: a rare medical entity

Pareek

Agrawal

2016

Int Surg J

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“…The cutoff line for management is the size of the cyst. If the size is more than 5 cm, surgical maneuver is indicated, otherwise it is treated conservatively [3]. These cysts can become complicated by rupture, hemorrhage, or infection.…”

Section: Discussionmentioning

confidence: 99%

Post-Traumatic Pancreatic Pseudocyst formation in a child: a case report

Sharma¹,

Sharma²,

Aziz³

et al. 2018

EJMCR

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Background: Pancreatic pseudocyst formation following blunt abdominal trauma is lesser known entity in pediatric age group as compared to.pancreatitis. The pickup rate of various post traumatic hidden pathologies is now possible because of modern diagnostic armamentarium. Case summary:.We present a 3-years old girl who reported with blunt abdominal trauma and developed pancreatitis She subsequently developed pseudocyst in the follow up period of management. Modern diagnostic tools like Ultrasonography (USG), Computed Tomography (CT) and Magnetic resonance imaging (MRI) helped in clinching the diagnosis.Conclusion:Blunt abdominal trauma in children should be taken seriously in diagnostic as well management point of view. We can manage the case as per the complications with the help of various diagnostic modalities as was in our present case.

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“…[1,3,7,8,10] Treatment becomes less clear and more controversial when ductal injury is suspected (grades III -V). Some authors advocate conservative management irrespective of the grade of the injury, [1,5,6,11] while others opt for an aggressive surgical approach if the diagnosis is made early on, preferring distal pancreatectomy with splenic preservation. [7,10,12,13] This has been described via both laparotomy and laparoscopy.…”

Section: Discussionmentioning

confidence: 99%

“…Owing to the nonspecific nature of the signs and symptoms of isolated pancreatic trauma, it is uncommon for patients to present in the first 48 hours post injury, particularly in SA where access to healthcare is not always immediately available. [5] Early presentation is more common …”

Section: Discussionmentioning

confidence: 99%

“…However, the same cannot be said for blunt pancreatic injuries, as there is still much debate about the optimal management of affected patients. [3][4][5][6] The pancreas is a retroperitoneal organ, draped over the bony vertebral column. Injury in children is usually due to compression against the underlying lumbar vertebrae, thus explaining the predilection for laceration or contusion at the pancreatic neck.…”

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confidence: 99%

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