2019 Volume 39 Issue 4 Pages 765-768
A 13-year-old girl sustained a handlebar injury to her upper abdomen after falling while riding a bicycle. She was admitted to a hospital with abdominal pain but was transferred to our hospital the following day because pancreatic injury was suspected. CT showed laceration of the pancreatic superior mesenteric vein (SMV). To assess the damage to the main pancreatic duct, we attempted endoscopic retrograde cholangiopancreatography (ERCP). However, we could not reach the Vater’s papilla owing to inflammation of the duodenum. We determined that her pancreatic injury was either Type Ⅲa or Ⅲb. We selected a non-operative management (NOM) because the patient was hemodynamically stable. The treatment was successful. She resumed oral intake on Day 8. Repeat CT showed no worsening of the pancreatic injury. She was discharged on Day 23. For managing blunt pancreatic trauma in children, NOM is a feasible option depending on the general condition of the patient and findings of imaging modalities.
