A Case of Traumatic Pancreatic Transection with Main DuctDisruption and Pleural Effusion in a Child.
- Author:
Ga Yeun LEE
1
;
Hye Soo YOO
;
Jee Hyun LEE
;
Yon Ho CHOE
;
Jin Seok HEO
Author Information
1. Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. cyh@smc.samsung.co.kr
- Publication Type:Case Report
- Keywords:
Traumatic pancreatic transection;
Main duct disruption;
Child
- MeSH:
Abdomen;
Abdominal Pain;
Amylases;
Ascites;
Chest Tubes;
Child*;
Cholangiography;
Drainage;
Humans;
Lipase;
Male;
Pancreas;
Pancreatic Ducts;
Pancreatitis;
Pleural Effusion*;
Thorax
- From:Korean Journal of Pediatric Gastroenterology and Nutrition
2007;10(1):98-103
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An 8-year-old boy presented with abdominal pain and poor oral intake for two months. Serum amylase and lipase levels were elevated. CT of the abdomen and chest X-ray showed two pseudocysts at the pancreatic uncinate process, pancreatitis with a parenchymal defect, a large amount of ascites, and a right pleural effusion. MR cholangiography and endoscopic retrograde cholangiopanreaticography revealed a pancreatic duct disruption. The patient was successfully treated with a chest tube placement and percutaneous drainage. After surgery, his general condition improved; the serum level of amylase normalized and the pleural effusion resolved. Pancreatic injuries are rare in pediatric blunt trauma; however, diagnostic difficulty is common with isolated blunt trauma. Therefore, a high index of suspicion should follow such an injury. We report the case of an 8-year-old boy with pancreas transection, ductal disruption, ascites, and pleural effusion who was successfully treated.
