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Pediatric Pancreatic Trauma: Single Institution Experience
Current Issue
Volume 3, 2016
Issue 2 (April)
Pages: 6-10   |   Vol. 3, No. 2, April 2016   |   Follow on         
Paper in PDF Downloads: 28   Since May 18, 2016 Views: 1453   Since May 18, 2016
Authors
[1]
Ibrahim Salih Elkheir, Department of Surgery, Faculty of Medicine, Alzaeim Alazhari University, Khartoum, Sudan.
[2]
Saadeldin Ahmed Idris, Department of Surgery, Faculty of Medicine, Alzaeim Alazhari University, Khartoum, Sudan.
[3]
Amir Abdalla Mohamadin, Department of Surgery, Faculty of Medicine, Alneelain University, Khartoum, Sudan.
Abstract
Pancreatic pseudocyst is a rare pathology of the pancreas. It is mostly post traumatic in pediatrics set. To present our experience with the treatment of pancreatitis and pancreatic pseudocysts in children up to the age of twelve years caused by blunt abdominal trauma, a cross sectional study was conducted after receiving research ethics approval. The study included all consecutive pediatric patients who sustained pancreatic trauma (Khartoum North Teaching Hospital, Sudan, from October 2010 to September 2015). Data were analyzed by SPSS version 21.0. Seven patients had pancreatic injury due to blunt abdominal trauma (Acute pancreatitis in 1, and pancreatic pseudocyst 6 patients). Their mean age was 6.43 years (Range, 4─ 11 years). The mean interval between onset of trauma and presentation was 14.1 weeks. Presentation was variable; vomiting, abdominal pain, and fever in 57.1%, 57.1%, and 28.6% respectively. Serum amylase elevated in 14.3%. Sensitivity of abdominal US and CT scan was 43.9% and 100% respectively. Patient with acute pancreatitis responded well to conservative measures. One pancreatic pseudocyst had ruptured while awaiting surgery and managed by emergency external drainage; later on it recurred and necessitates formal elective surgery. Elective surgical drainage was cystogastrostomy. Neither complications nor relapse were documented during their follow- up. There was no mortality in the current study. In conclusion; Post traumatic pancreatic pseudocyst in children is a rare but nevertheless significant clinical entity, it should be suspected in patients that develop vomiting, abdominal fullness and pain few days following blunt abdominal trauma.
Keywords
Pediatrics, Abdominal Trauma, Pancreatic, Pseudocyst, Surgical Intervention
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