Abstract
Surgical therapy has been traditionally used for type IIIa pancreatic injuries. However, in recent years , successful cases of nonoperative management (NOM) have been reported. This paper reports the case of a child with blunt pancreatic injury (type IIIa). Who was treated by NOM and symptoms went into remission. The patient is a nine-year-old boy who bruised his abdomen falling at a playground. Using abdominal CT, we diagnosed this case as a type IIIa pancreatic injury. Because his vital signs were stable without abdominal symptoms, we decided to choose NOM. During hospitalization, we treated the patient with fasting, bed rest, intravenous infusion, and administered a protease inhibitor. Formation of a pancreatic pseudocyst was discovered during the course, but a follow-up exam revealed that the pseudocyst had gone into remission and the patient was discharged.
