Conservative management of a case of traumatic pancreatitis in childhood: a case report

P. Dixit, V. Sharma, K.R. Singh, B.R. Thapa, M. Rathore

Division of Pediatric Gastroenterology, Hepatology and Nutrition, Superspeciality of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. pgipankaj@gmail.com

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• Gastroenterology

Acute pancreatitis (AP) is relatively uncommon in pediatric age group. Traumatic injury is an important cause of AP in children. Ductal disruption resulting from pancreatic trauma usually needs surgical intervention. A three-and-a-half year old child presented with complaints of abdominal pain and distension following blunt trauma abdomen. Computed tomography of abdomen revealed presence of grade III pancreatic injury with fluid collection in lesser sac. The patient was managed with antibiotics and pigtail drainage and he improved. Therapy for traumatic pancreatitis in paediatric patients must be individualised. Even high grade injuries can be managed non-operatively.

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