Minimally Invasive Approaches for Traumatic Rupture of the Pancreas in Children—A Case Series
Pancreatic trauma in children is rare; therefore, both scientific knowledge and clinical experience regarding its management are limited. Abdominal sonography and subsequent computed tomography (CT) imaging are the diagnostic mainstay after severe abdominal trauma in many pediatric trauma centers. H...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/8/1102 |
| _version_ | 1797432305778688000 |
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| author | Hannah Noemi Stundner-Ladenhauf Leopold Bauer Christian Heil Josef Holzinger Ottokar Stundner Roman Metzger |
| author_facet | Hannah Noemi Stundner-Ladenhauf Leopold Bauer Christian Heil Josef Holzinger Ottokar Stundner Roman Metzger |
| author_sort | Hannah Noemi Stundner-Ladenhauf |
| collection | DOAJ |
| description | Pancreatic trauma in children is rare; therefore, both scientific knowledge and clinical experience regarding its management are limited. Abdominal sonography and subsequent computed tomography (CT) imaging are the diagnostic mainstay after severe abdominal trauma in many pediatric trauma centers. However, the diagnosis of pancreatic injury is missed on the initial imaging in approximately one third of cases, with even higher numbers in young children. While conservative treatment is preferred in low-grade injuries, surgical interventions may be indicated in more severe injuries. We present a case series including four patients with high-grade pancreatic injury. Two patients were treated surgically with open laparotomy and primary suture of the head of the pancreas and pancreatico-enterostomy, one patient underwent endoscopic stenting of the pancreatic duct and one received conservative management including observation and secondary endoscopic treatment. We want to emphasize the fact that using a minimally invasive approach can be a feasible option in high-grade pancreatic injury in selected cases. Therefore, we advocate the necessity of fully staffed and equipped high-level pediatric trauma centers. |
| first_indexed | 2024-03-09T09:59:39Z |
| format | Article |
| id | doaj.art-8d3e3001c39648b682ad7636f4358dc3 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T09:59:39Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-8d3e3001c39648b682ad7636f4358dc32023-12-01T23:34:00ZengMDPI AGChildren2227-90672022-07-0198110210.3390/children9081102Minimally Invasive Approaches for Traumatic Rupture of the Pancreas in Children—A Case SeriesHannah Noemi Stundner-Ladenhauf0Leopold Bauer1Christian Heil2Josef Holzinger3Ottokar Stundner4Roman Metzger5Department of Pediatric and Adolescent Surgery, Paracelsus Medical University Hospital, 5020 Salzburg, AustriaDepartment of Pediatric and Adolescent Surgery, Paracelsus Medical University Hospital, 5020 Salzburg, AustriaDepartment of Pediatric and Adolescent Surgery, Paracelsus Medical University Hospital, 5020 Salzburg, AustriaDepartment of Surgery, Paracelsus Medical University Hospital, 5020 Salzburg, AustriaDepartment of Anesthesiology and Intensive Care, Medical University Innsbruck, 6020 Innsbruck, AustriaDepartment of Pediatric and Adolescent Surgery, Paracelsus Medical University Hospital, 5020 Salzburg, AustriaPancreatic trauma in children is rare; therefore, both scientific knowledge and clinical experience regarding its management are limited. Abdominal sonography and subsequent computed tomography (CT) imaging are the diagnostic mainstay after severe abdominal trauma in many pediatric trauma centers. However, the diagnosis of pancreatic injury is missed on the initial imaging in approximately one third of cases, with even higher numbers in young children. While conservative treatment is preferred in low-grade injuries, surgical interventions may be indicated in more severe injuries. We present a case series including four patients with high-grade pancreatic injury. Two patients were treated surgically with open laparotomy and primary suture of the head of the pancreas and pancreatico-enterostomy, one patient underwent endoscopic stenting of the pancreatic duct and one received conservative management including observation and secondary endoscopic treatment. We want to emphasize the fact that using a minimally invasive approach can be a feasible option in high-grade pancreatic injury in selected cases. Therefore, we advocate the necessity of fully staffed and equipped high-level pediatric trauma centers.https://www.mdpi.com/2227-9067/9/8/1102pancreatic injurychildrenpediatricabdominal traumaorgan laceration |
| spellingShingle | Hannah Noemi Stundner-Ladenhauf Leopold Bauer Christian Heil Josef Holzinger Ottokar Stundner Roman Metzger Minimally Invasive Approaches for Traumatic Rupture of the Pancreas in Children—A Case Series Children pancreatic injury children pediatric abdominal trauma organ laceration |
| title | Minimally Invasive Approaches for Traumatic Rupture of the Pancreas in Children—A Case Series |
| title_full | Minimally Invasive Approaches for Traumatic Rupture of the Pancreas in Children—A Case Series |
| title_fullStr | Minimally Invasive Approaches for Traumatic Rupture of the Pancreas in Children—A Case Series |
| title_full_unstemmed | Minimally Invasive Approaches for Traumatic Rupture of the Pancreas in Children—A Case Series |
| title_short | Minimally Invasive Approaches for Traumatic Rupture of the Pancreas in Children—A Case Series |
| title_sort | minimally invasive approaches for traumatic rupture of the pancreas in children a case series |
| topic | pancreatic injury children pediatric abdominal trauma organ laceration |
| url | https://www.mdpi.com/2227-9067/9/8/1102 |
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