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Management of blunt pancreatic trauma in children

Pediatric Surgery International volume 29, pages 1019–1022 (2013)Cite this article

Abstract

Blunt trauma to the abdomen accounts for the majority of abdominal injuries in children. Pancreatic injury is the fourth most common solid organ injury, following injuries to the spleen, liver and kidneys. The most common complications are the formation of pancreatic fistulae, pancreatitis and the development of pancreatic pseudocysts, which usually present several weeks after injury. The nonoperative management of minor pancreatic injury is well accepted; however, the treatment of more serious pancreatic injuries with capsular, ductal or parenchymal disruption in pediatric patients remains controversial. Based on the data presented in this literature review, although children with pancreatic injuries (without ductal disruption) do not appear to suffer increased morbidity following conservative management, patients with ductal disruption may benefit from operative intervention.

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Conflict of interest

The authors declare that they have no conflict of interest.

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Affiliations

  1. Division of Pediatric Surgery, Department of Surgery, Jichi Medical University School of Medicine, 3311-1, Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan

    Kosaku Maeda, Shigeru Ono, Katsuhisa Baba & Insu Kawahara

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  1. Kosaku Maeda
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  2. Shigeru Ono
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  3. Katsuhisa Baba
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  4. Insu Kawahara
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Correspondence to Kosaku Maeda.

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Maeda, K., Ono, S., Baba, K. et al. Management of blunt pancreatic trauma in children. Pediatr Surg Int 29, 1019–1022 (2013). https://doi.org/10.1007/s00383-013-3402-9

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  • DOI: https://doi.org/10.1007/s00383-013-3402-9

Keywords

  • Pediatric blunt trauma
  • Pancreatic injuries
  • Pancreatic transection
  • Operative management