Management of pancreatic and duodenal trauma in childhood: a university hospital experience over a 10-year period

• DOI: 10.1007/s00068-024-02506-x
• Publication Date: 2024-03-26T07:10:30Z
• Authors: Agah Koray Mansir...; Emrullah Cesur; Binali Firinci; Ozgur Caglar; Murat Yigiter; Ahmet Bedii Salman
• Keywords: Pancreatic injury; Perforation; Pancreatic pseudocyst

Abstract Purpose Duodenal/pancreatic injuries occur in less than 10% of intra-abdominal pediatric blunt trauma. Isolated duodenal/pancreatic two-thirds cases, while combined the remaining. This study aimed to investigate patients with pancreatic and duodenal Methods Data from 31 admitted Atatürk University, Medical Faculty, Department Pediatric Surgery for pancreatic/duodenal trauma between 2010 2019 were retrospectively analyzed. Age/gender, province origin, duration before hospital admission, type, injured organs, injury severity, diagnostic therapeutic modalities, complications, hospitalization duration, blood transfusion requirement, mortality rate recorded. Results Twenty-four male, 7 female. The mean age was 9 years. leading cause bicycle accidents, 12 followed by traffic accidents/bumps, cases each. Comorbid organ accompanied 18 cases. Duodenal most commonly liver (4/8), whereas pulmonary (7/23). Serum amylase at initial presentation elevated 83.9% patients. Thirty underwent abdominal CT, FAST performed 20. While 54.8% conservatively managed, 45.2% surgery. Conclusion Because anatomical proximity pancreas duodenum, both organs should be considered being co-affected a localized Radiologic confirmation perforation an pseudocyst are critical surgical indications pancreaticoduodenal Conservative management’s success is increased absence non-symptomatic pseudocyst.