Abstract
We report a 9-year-old boy with severance of pancreas by the quad swing. He was treated conservatively with only drainage of pseudocyst in spite of pancreatic duct injured. Pediatric traumatic severance of pancreas have been reported only 6 cases in Japan. All of these cases underwent operative repair such as Poux-Y anastomosis, Whipple's operation, or distal resection. It is generally believed that the severance of head and neck of pancreas with duct injured is an indication for surgery. However, especially in children, conservative therapy should be an alternative in selected cases such as this, when the late complication of surgery is taken into account.
