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KMID : 0816120070100010098
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2007 Volume.10 No. 1 p.98 ~ p.103
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A Case of Traumatic Pancreatic Transection with Main Duct Disruption and Pleural Effusion in a Child
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Lee Ga-Yeun
Heo Jin-Seok
Choe Yon-Ho
Lee Jee-Hyun
Yoo Hye-Soo
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Abstract
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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.
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KEYWORD
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Traumatic pancreatic transection, Main duct disruption, Child
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