TITLE

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

AUTHOR(S)
Leva, Ernesto; Huscher, Cristiano; Rode, Heinz; Fava, Giorgio; Napolitano, Marcello; Maestri, Luciano; Pansini, Andrea; Cocozza, Eugenio; Numanoglu, Alp; Prada, Alberto; Sortino, Giorgia; Pansini, Luigi
PUB. DATE
April 2008
SOURCE
Journal of Laparoendoscopic & Advanced Surgical Techniques;Apr2008, Vol. 18 Issue 2, p321
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
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.
ACCESSION #
31481870

 

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