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

Leva, Ernesto; Huscher, Cristiano; Rode, Heinz; Fava, Giorgio; Napolitano, Marcello; Maestri, Luciano; Pansini, Andrea; Cocozza, Eugenio; Numanoglu, Alp; Prada, Alberto; Sortino, Giorgia; Pansini, Luigi
April 2008
Journal of Laparoendoscopic & Advanced Surgical Techniques;Apr2008, Vol. 18 Issue 2, p321
Academic Journal
Blunt abdominal trauma is the most common cause of pancreatic injury in children. Laparoscopic distal pancreatectomy in a child with complete duct disruption has not been reported in the literature in children, although it has been well described in adults. Methods: In this paper report a case of a 7-year-old male, with grade 4 pancreatic trauma, who was treated nonoperatively in the acute phase and subsequently by laparoscopic distal pancreatectomy 3 months after the trauma. Discussion: Although in adults the surgical management of grade 34 pancreatic traumatic injury is well described, including the laparoscopic approach, no report of laparoscopic distal pancreatectomy was found in the literature. We would like to emphasize the importance of using a conservative management in the acute phase of pancreatic injury, including grade 4 injuries. After this phase, the use of the high-definition computed tomography scan and endoscopic retrograde pancreatography were fundamental. Conclusion: Magnification of laparoscopic technique allowed us to identify the structures much better than open surgery.


Related Articles

  • Abdominal Pain in a 17-Year-Old Girl With Pancreatic Insufficient Cystic Fibrosis. Wojciechowski, Alyssa R.; Tomczyk, Carlye T.; Laguna, Theresa A. // Clinical Pediatrics;Jan2017, Vol. 56 Issue 1, p100 

    The article presents case study of a 17-year-old Caucasian children with known cystic fibrosis (CF), associated pancreatic insufficiency, and congenital hypothyroidism. The patient reported having an upper respiratory infection 1 week prior to fevers, and chest X-ray showed underlying chronic...

  • CHRONIC ABDOMINAL PAIN CAUSED BY THORACIC DISC HERNIATION. Whitcomb, David C.; Martin, Stephen P.; Schoen, Robert E.; Jho, Hae-Dong // American Journal of Gastroenterology;May1995, Vol. 90 Issue 5, p835 

    A patient with 7 yr of severe disabling chronic epigastric abdominal pain attributed to chronic pancreatitis was seen in consultation before a 95% pancreatectomy for pain control. Previous attempts to identify and treat the pain lead to extensive radiographic, pharmacological, endoscopic, and...

  • What Approach Do You Suggest in the Patient with Fever and a Tender Abdominal Mass (Presumably Pancreas) after an Episode of Acute Abdominal Pain Associated with a Raised Serum Amylase? Ranson, John H. C.; Barkin, Jamie S.; Kartsonis, Athan; Rogers, Arvey; Brandt, Lawrence // American Journal of Gastroenterology;Jan1988, Vol. 83 Issue 1, p12 

    Presents information on the clinical management of a patient with fever and a tender abdominal mass after an acute abdominal pain associated with a raised serum amylase. Types of abdominal masses secondary to inflammatory pancreatic disease; Importance of history and overall clinical evaluation...

  • Prospective study of 310 patients: can early CT predict the severity of acute pancreatitis? Knoepfli, A.; Kinkel, K.; Berney, T.; Morel, P.; Becker, C.; Poletti, P.; Knoepfli, A-S; Becker, C D; Poletti, P-A // Abdominal Imaging;Jan/Feb2007, Vol. 32 Issue 1, p111 

    Background: This study was designed to determine the most important early CT parameters predictive of acute pancreatitis severity. Methods: Three hundred and seventy-one consecutive patients with acute abdominal pain and hyperamylasemia were enrolled. Three hundred and...

  • Laparoscopic splenopexy of a pediatric wandering spleen by creation of a retroperitoneal pocket. Hedeshian, Mohir H.; Hirsh, Michael P.; Danielson, Paul D. // Journal of Laparoendoscopic & Advanced Surgical Techniques;Dec2005, Vol. 15 Issue 6, p670 

    Wandering spleen is a rare condition in which the spleen is attached by a long, vascular pedicle and lacks its usual peritoneal attachments and supporting ligaments. This condition predisposes the spleen to torsion and infarction. We report the case of a 2-year-old boy with a history of...

  • SPECIFICITY OF CYSTS IN THE DISTAL PART OF THE PANCREAS. Stefański, Leszek; Lampe, Paweł; Wąs, Małgorzata // Polish Surgery / Chirurgia Polska;2006 Supplement, Vol. 8, p16 

    In 1882, Carl Gussenbauer performed the first pioneering surgical procedure on the pancreas. He conducted an external drainage procedure of a pancreatic cyst which became the 'gold standard' procedure until the 1950s. Current imaging methods explicitly enable the diagnosis of pancreatic cysts...

  • Inflammatory mass formation caused by gastric ectopic pancreas: report of a case. Kishiki, Tomokazu; Abe, Nobutsugu; Sugiyama, Masanori; Tokutsu, Takayuki; Matsuoka, Hiroyoshi; Yanagida, Osamu; Masaki, Tadahiko; Mori, Toshiyuki // Surgery Today;Dec2013, Vol. 43 Issue 12, p1448 

    Ectopic pancreas is a relatively rare condition that only occasionally causes the development of symptoms. This report presents a case of ectopic pancreas presenting as an inflammatory mass that formed in the gastric wall, which was successfully treated by surgical resection. A 32-year-old...

  • Laparoscopic pancreatic surgery. Shimizu, S.; Tanaka, M.; Konomi, H.; Mizumoto, K.; Yamaguchi, K. // Surgical Endoscopy;Mar2004, Vol. 18 Issue 3, p402 

    Background: Although minimally invasive surgery has achieved worldwide acceptance in various fields, laparoscopic surgery for pancreatic diseases has been reported only rarely. The purpose of this study was to evaluate the outcomes and feasibility of laparoscopic pancreatic surgery. Methods:...

  • Retroperitoneal Foregut Duplication Cyst Presenting as an Adrenal Mass. Terry, N. Elizabeth; Senkowski, Christopher K.; Check, William; Brower, Steven T. // American Surgeon;Jan2007, Vol. 73 Issue 1, p89 

    A 75 year-old woman presented to the authors' institution with abdominal pain and early satiety. An adrenal mass was found on CT scanning. Laparoscopic adrenalectomy was performed, and the patient was found to have a retroperitoneal bronchogenic cyst adherent to the adrenal gland. The workup of...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics