Multi-institutional experience with penetrating pancreatic injuries in children.

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DOI: 10.1007/s00383-014-3599-2


Purpose: Penetrating pancreatic injuries in children are uncommon and are not well described in the literature. We report a multi-institutional experience with penetrating pancreatic injuries in children.

Methods: A retrospective review of children sustaining penetrating pancreatic injuries was performed at eight pediatric trauma centers.

Results: Sixteen patients were identified. Eleven patients were male; (mean ± SE) age was 11.7 ± 1.2 years. The mechanism of injury was gun-shot wound in 14 patients and mean injury-severity score was 18 ± 3. All patients had associated injuries, most frequently small bowel injuries (n = 9). Patients had either grade I (n = 4), grade II (n = 7), or grade III (n = 4) injuries; there was a single grade V injury. All patients underwent exploratory celiotomy. Drainage of the injured pancreas was performed in 11 patients, and 2 patients underwent pancreatorrhaphy in addition to drainage; 3 underwent resection for grade III (n = 2) and grade V (n = 1) injuries. Thirteen patients required other intra-abdominal procedures. All patients required intensive care over a mean 11.0 ± 3.0 days. Mean duration of stay was 30.1 ± 5.6 days. Post-operative morbidity was 62.5% with no mortalities.

Conclusions: Penetrating pancreatic injuries in children are uncommon and most often due to firearms. There is a high association with other injuries particularly hollow viscous perforation.

Journal Title

Pediatric surgery international





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MeSH Keywords

Child; Drainage; Female; Humans; Injury Severity Score; Intestine, Small; Length of Stay; Male; Pancreas; Postoperative Complications; Retrospective Studies; Trauma Centers; Wounds, Gunshot; Wounds, Nonpenetrating; Wounds, Penetrating

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