Successful treatment of blunt trauma involving complete laceration of the pancreas and duodenum in a 7-year-old child: report of a case.
The acute onset of peritoneal signs and shock in a 7-year-old boy who had been hit in the epigastrium by a log-seesaw mandated surgical treatment. Enhanced computed tomography (CT) demonstrated complete laceration of the pancreas as well as duodenal injury, and a duodenoduodenostomy with distal pancreaticogastrostomy was subsequently performed. Temporary external drainage of the stomach and distal pancreas led to an uneventful recovery in the early postoperative period. Although the patient's postoperative development was appropriate for his age, the orifice of the distal pancreas spontaneously closed 2.5 years following surgery. We present this report to stress the fact that every effort should be made to preserve the pancreas following abdominal injury in children.
Yagi
M
M
Department of Pediatric Surgery, Shonai Hospital, Yamagata, Japan.
Mishina
T
T
Fujishima
T
T
Date
K
K
Saito
H
H
Suzuki
N
N
D002648:Child; D004386:Duodenum / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D008297:Male; D010179:Pancreas / Q000293:injuries* / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000601:surgery*