Journal of Acute Care Surgery

"Pancreas"

Case Reports

Trauma, Organ(liver, bowel, kideny etc.)

Spleen-Preserving Distal Pancreatectomy for Blunt Pancreatic Trauma in a Pediatric Patient: Gil Hwan Kim, Jae Hun Kim, Sun Hyun Kim; J Acute Care Surg 2022;12(3):142-144. Published online November 23, 2022; DOI: https://doi.org/10.17479/jacs.2022.12.3.142; Correction in: J Acute Care Surg 2023;13(2):83

Abstract
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Pancreatic injury is rare in pediatric cases of blunt abdominal trauma and nonoperative management is preferred in pediatric patients. There are more concerns about operative treatment observed in pediatric patients compared with adult patients. However, some pediatric cases require surgical treatment. If distal pancreatectomy is performed, the necessity of splenectomy should be considered, especially in pediatric patients. This study reports the case of a 17-month-old patient with a Grade 3 pancreatic injury following blunt abdominal trauma. The patient was successfully managed by spleen-preserving distal pancreatectomy. In conclusion, this surgical technique can be performed safely, and complications caused by splenectomy can be prevented using this technique.

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Trauma, Procedure

Isolated Pancreatic Transection Due to Motorcycle Accident with Endoscopic Treatment: A Case Report: Chan Ik Park, Sung Jin Park, Jae Hun Kim, Dong Hoon Baek; J Acute Care Surg 2018;8(2):74-77. Published online October 30, 2018; DOI: https://doi.org/10.17479/jacs.2018.8.2.74

Abstract
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An isolated pancreatic transection due to blunt trauma is a rare occurrence that usually requires surgical treatment. Non-surgical treatment for a pancreatic transection remains controversial because of its associated complications. On the other hand, non-surgical treatment has been used increasingly as a treatment option with promising results in recent years. A patient presented with a suspected pancreatic injury caused by a motorcycle accident. The computed tomography findings revealed an isolated pancreatic neck transection with a small amount of fluid collection. He was hemodynamically stable without signs of peritoneal irritation. Endoscopic retrograde pancreatography and stent insertion were performed. The patient had no significant complications and was discharged on day 18. The stent was removed on day 103 and the patient showed good recovery. For an isolated pancreatic transection, endoscopic intervention can be considered as an alternative with a good outcome in selected patients.