title: Delayed presentation of complete pancreatic ductal transection in children: management of two cases without resection.
abstract: Pancreatic ductal injuries in children are rare, and ductal transections presenting in a delayed or subacute fashion are seldom reported. We describe two cases of traumatic pancreatic ductal transection secondary to physical abuse, both of which presented late to medical care. Both were managed successfully without pancreatic resection. Judicious application of non-resectional management can yield favorable outcomes in this subset of pediatric patients.
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, University of South Florida Morsani College of Medicine, 1 Tampa General Circle #G441, Tampa, FL 33606, USA.
authors.forename: Whalen
authors.initials: W
authors.lastname: Clark
authors.forename: Charles N
authors.initials: CN
authors.lastname: Paidas
authors.forename: David
authors.initials: D
authors.lastname: Germain
authors.forename: Claude
authors.initials: C
authors.lastname: Guidi
authors.forename: Haim
authors.initials: H
authors.lastname: Pinkas
authors.forename: Mark L
authors.initials: ML
authors.lastname: Kayton
mesh_terms: D002649:Child Abuse; D002675:Child, Preschool; D049448:Cholangiopancreatography, Magnetic Resonance; D015529:Choledochal Cyst / Q000209:etiology / Q000601:surgery; D004322:Drainage; D005260:Female; D006801:Humans; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging / Q000293:injuries*; D010185:Pancreatic Fistula / Q000209:etiology; D010192:Pancreatic Pseudocyst / Q000209:etiology / Q000601:surgery; D014057:Tomography, X-Ray Computed