Three cases of paediatric pancreatic injury involving the main pancreatic duct

Three cases of paediatric pancreatic injury involving the main pancreatic duct

We report on 3 patients aged 9–12 years with pancreatic injury involving the main pancreatic duct. None of them presented with shock. They were initially transported to secondary emergency care facilities, leading to delays in diagnosis and treatment. Two patients underwent organ (spleen and pancrea...

Full description

Bibliographic Details
Main Authors: Takeshi Omura, Kenta Matsushita, Miharu Arase, Toshiyuki Yagi
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:Trauma Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644019300871
id doaj-4932f3146bef4e588b16bb8df104b224
record_format Article
spelling doaj-4932f3146bef4e588b16bb8df104b2242020-11-25T01:31:35ZengElsevierTrauma Case Reports2352-64402019-12-0124Three cases of paediatric pancreatic injury involving the main pancreatic ductTakeshi Omura0Kenta Matsushita1Miharu Arase2Toshiyuki Yagi3Department of Surgery, Tokushima Prefectural Central Hospital, Kuramotocho, 1-10-3, Tokushima-city, Tokushima, Japan; Emergency Surgery and Trauma Center, Tokushima Prefectural Central Hospital, Kuramotocho, 1-10-3, Tokushima-city, Tokushima, Japan; Corresponding author. Department of Surgery, Tokushima Prefectural Central Hospital, Kuramotocho, 1-10-3, Tokushima-city, Tokushima, Japan.Department of Surgery, Tokushima Prefectural Central Hospital, Kuramotocho, 1-10-3, Tokushima-city, Tokushima, JapanDepartment of Emergency Medicine, Tokushima Prefectural Central Hospital, Kuramotocho, 1-10-3, Tokushima-city, Tokushima, JapanDepartment of Surgery, Tokushima Prefectural Central Hospital, Kuramotocho, 1-10-3, Tokushima-city, Tokushima, JapanWe report on 3 patients aged 9–12 years with pancreatic injury involving the main pancreatic duct. None of them presented with shock. They were initially transported to secondary emergency care facilities, leading to delays in diagnosis and treatment. Two patients underwent organ (spleen and pancreatic tail)-preserving surgery and one underwent non-operative management (NOM). They recovered and were discharged without major complications. Although the indications for NOM for paediatric pancreatic injury might increase in the future, we believe that it is preferable for patients to be transferred to the tertiary care hospital from the very beginning to recieve appropriate diagnosis and treatment. Keywords: Pancreas, Main pancreatic duct, Children, Trauma, Pancreatectomyhttp://www.sciencedirect.com/science/article/pii/S2352644019300871
collection DOAJ
language English
format Article
sources DOAJ
author Takeshi Omura
Kenta Matsushita
Miharu Arase
Toshiyuki Yagi
spellingShingle Takeshi Omura
Kenta Matsushita
Miharu Arase
Toshiyuki Yagi
Three cases of paediatric pancreatic injury involving the main pancreatic duct
Trauma Case Reports
author_facet Takeshi Omura
Kenta Matsushita
Miharu Arase
Toshiyuki Yagi
author_sort Takeshi Omura
title Three cases of paediatric pancreatic injury involving the main pancreatic duct
title_short Three cases of paediatric pancreatic injury involving the main pancreatic duct
title_full Three cases of paediatric pancreatic injury involving the main pancreatic duct
title_fullStr Three cases of paediatric pancreatic injury involving the main pancreatic duct
title_full_unstemmed Three cases of paediatric pancreatic injury involving the main pancreatic duct
title_sort three cases of paediatric pancreatic injury involving the main pancreatic duct
publisher Elsevier
series Trauma Case Reports
issn 2352-6440
publishDate 2019-12-01
description We report on 3 patients aged 9–12 years with pancreatic injury involving the main pancreatic duct. None of them presented with shock. They were initially transported to secondary emergency care facilities, leading to delays in diagnosis and treatment. Two patients underwent organ (spleen and pancreatic tail)-preserving surgery and one underwent non-operative management (NOM). They recovered and were discharged without major complications. Although the indications for NOM for paediatric pancreatic injury might increase in the future, we believe that it is preferable for patients to be transferred to the tertiary care hospital from the very beginning to recieve appropriate diagnosis and treatment. Keywords: Pancreas, Main pancreatic duct, Children, Trauma, Pancreatectomy
url http://www.sciencedirect.com/science/article/pii/S2352644019300871
work_keys_str_mv AT takeshiomura threecasesofpaediatricpancreaticinjuryinvolvingthemainpancreaticduct
AT kentamatsushita threecasesofpaediatricpancreaticinjuryinvolvingthemainpancreaticduct
AT miharuarase threecasesofpaediatricpancreaticinjuryinvolvingthemainpancreaticduct
AT toshiyukiyagi threecasesofpaediatricpancreaticinjuryinvolvingthemainpancreaticduct
_version_ 1725085842955829248

Similar Items