title: [Distal pancreatectomy with splenic preservation in pediatric patient with blunt abdominal trauma].
abstract: BACKGROUND
  Traumatic injuries of the pancreas occur in 3 to 12% of cases of blunt abdominal trauma in children and these are associated with a mortality of 30%.
  
  
  METHODS
  A four-year-old girl was brought to the emergency room after an automobile accident. On physical examination, she was stable with abdominal pain and signs of peritoneal irritation. An abdominal CT scan showed a grade II liver lesion, a grade II splenic lesion, and a grade III pancreatic lesion. Laparotomy was performed with the patient stable, finding the same lesions as those on the CT scan. Distal pancreatectomy was performed preserving the splenic vessels. The liver and splenic lesions were conservatively treated. The patient was discharged on the seventh day after surgery and at four month follow-up no surgical complications have been observed.
  
  
  CONCLUSIONS
  Surgery should be considered first-line therapy for grade III or greater pancreatic lesions; conservative medical management should be used for Grade I and II lesions.
authors.affiliation: Servicio de Cirugía General. Hospital Universitario "Dr. José Eleuterio González" de la Universidad Autónoma de Nuevo León. Monterrey, Nuevo León, México.
authors.forename: J T
authors.initials: JT
authors.lastname: Palacios-Zertuche
authors.affiliation: Servicio de Pediatría y Cirugía Pediátrica. Hospital Universitario "Dr. José Eleuterio González" de la Universidad Autónoma de Nuevo León. Monterrey, Nuevo León, México.
authors.forename: J G
authors.initials: JG
authors.lastname: Martínez-Flores
authors.affiliation: Servicio de Cirugía General. Hospital Universitario "Dr. José Eleuterio González" de la Universidad Autónoma de Nuevo León. Monterrey, Nuevo León, México.
authors.forename: Q
authors.initials: Q
authors.lastname: Gilte-Limas
authors.affiliation: Servicio de Pediatría. Hospital Universitario "Dr. José Eleuterio González" de la Universidad Autónoma de Nuevo León. Monterrey, Nuevo León, México.
authors.forename: M A
authors.initials: MA
authors.lastname: Pinzón-Uresti
authors.affiliation: Servicio de Cirugía General. Hospital Universitario "Dr. José Eleuterio González" de la Universidad Autónoma de Nuevo León. Monterrey, Nuevo León, México.
authors.forename: F J
authors.initials: FJ
authors.lastname: Reyna-Sepúlveda
authors.affiliation: Servicio de Cirugía General. Hospital Universitario "Dr. José Eleuterio González" de la Universidad Autónoma de Nuevo León. Monterrey, Nuevo León, México.
authors.forename: G E
authors.initials: GE
authors.lastname: Muñoz-Maldonado
mesh_terms: D000007:Abdominal Injuries / Q000628:therapy*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008099:Liver / Q000293:injuries; D059351:Organ Sparing Treatments; D010179:Pancreas / Q000293:injuries*; D010180:Pancreatectomy / Q000379:methods*; D013154:Spleen / Q000293:injuries; D014949:Wounds, Nonpenetrating / Q000628:therapy*
keywords: Abdominal injuries; Pancreas; Pancreatectomy; Splenic rupture