Multi-institutional experience with penetrating pancreatic injuries in children.
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.
Pediatric surgery international
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
Alemayehu, H., Tsao, K., Wulkan, M. L., Islam, S., Russell, R. T., Ponsky, T. A., Cullinane, D. C., Alder, A., Iqbal, C. W., St Peter, S. D. Multi-institutional experience with penetrating pancreatic injuries in children. Pediatric surgery international 30, 1107-1110 (2014).