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- Title
Multi-institutional experience with penetrating pancreatic injuries in children.
- Authors
Alemayehu, Hanna; Tsao, Kuojen; Wulkan, Mark; Islam, Saleem; Russell, Robert; Ponsky, Todd; Cullinane, Daniel; Alder, Adam; St. Peter, Shawn; Iqbal, Corey
- Abstract
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.
- Subjects
PANCREATIC injuries; JUVENILE diseases; RETROSPECTIVE studies; MEDICAL literature reviews; TRAUMA centers; CRITICAL care medicine
- Publication
Pediatric Surgery International, 2014, Vol 30, Issue 11, p1107
- ISSN
0179-0358
- Publication type
Article
- DOI
10.1007/s00383-014-3599-2