Indian Journal of Critical Care Medicine
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 CASE REPORT
Year : 2007  |  Volume : 11  |  Issue : 2  |  Page : 96--98

Isolated pancreatic injury following blunt abdominal trauma in a child


Department of General Surgery, LTM Medical College, Sion, Mumbai - 400 022, India

Correspondence Address:
Sandeep Jain
Department of General Surgery, LTM Medical College, Sion, Mumbai - 400 022
India
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DOI: 10.4103/0972-5229.33393

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Pancreatic injury following blunt abdominal trauma is rare as compared to other visceral organs. Isolated injury to the pancreas is even more rare. The clinical presentation is subtle resulting in delayed treatment with high morbidity and mortality. A three-year-old female child presented with vomiting 18h following a motor vehicle accident. She was hemodynamically stable with no external signs of injury. Investigations revealed hyperamylasemia and isolated grade III pancreatic injury. Laparotomy with distal pancreatic resection and splenectomy was done. A high degree of clinical suspicion with due consideration to the mechanism of injury is the key to good outcome in these patients. Major ductal injury is the critical issue in the management and a number of therapeutic choices are available specific to the location of the insult.






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