Journal List > Korean J Pediatr Gastroenterol Nutr > v.10(1) > 1110227

Korean J Pediatr Gastroenterol Nutr. 2007 Mar;10(1):98-103. Korean.
Published online Mar 31, 2007.
Copyright © 2007 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
A Case of Traumatic Pancreatic Transection with Main Duct Disruption and Pleural Effusion in a Child
Ga Yeun Lee, Hye Soo Yoo, Jee Hyun Lee, Yon Ho Choe, and Jin Seok Heo*
Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
*Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

An 8-year-old boy presented with abdominal pain and poor oral intake for two months. Serum amylase and lipase levels were elevated. CT of the abdomen and chest X-ray showed two pseudocysts at the pancreatic uncinate process, pancreatitis with a parenchymal defect, a large amount of ascites, and a right pleural effusion. MR cholangiography and endoscopic retrograde cholangiopanreaticography revealed a pancreatic duct disruption. The patient was successfully treated with a chest tube placement and percutaneous drainage. After surgery, his general condition improved; the serum level of amylase normalized and the pleural effusion resolved. Pancreatic injuries are rare in pediatric blunt trauma; however, diagnostic difficulty is common with isolated blunt trauma. Therefore, a high index of suspicion should follow such an injury. We report the case of an 8-year-old boy with pancreas transection, ductal disruption, ascites, and pleural effusion who was successfully treated.

Keywords: Traumatic pancreatic transection; Main duct disruption; Child