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Published on: April 18, 2011
[Acute pancreatitis secondary to an abdominal trauma: case report of a 7-year-old child]
Laura Montoya-Sánchez1, Rocío Del P Pereira-Ospina2, Javier Y Pinzón-Salamanca3
1Universidad del Rosario, Bogotá, Colombia.
Insights
Acute pancreatitis, a common pancreatic disease, involves abdominal pain and elevated enzyme markers. This case highlights bicycle handle trauma as an increasing cause in children.
Area of Science:
- Pediatric Gastroenterology
- Trauma Surgery
- Biochemistry
Background:
- Pancreatitis is acute pancreatic inflammation causing abdominal pain, diagnosed via elevated amylase or lipase.
- It's a frequent pancreatic disease in children and adults, with increasing pediatric cases.
- Etiologies in children include infections, trauma, intoxication, and metabolic diseases.
Observation:
- This article presents a case of pancreatitis in a 7-year-old patient.
- The pancreatitis was secondary to abdominal trauma.
- The trauma mechanism involved impact with a bicycle handle.
Findings:
- The case demonstrates a direct link between bicycle handle abdominal trauma and acute pancreatitis.
- Biochemical markers confirmed pancreatic inflammation.
- This specific trauma mechanism is a notable cause of pediatric pancreatitis.
Implications:
- Highlights the need for awareness of non-traditional trauma mechanisms causing pancreatitis in children.
- Suggests considering bicycle handle injuries in the differential diagnosis of pediatric abdominal pain with elevated pancreatic enzymes.
- Emphasizes the importance of thorough history taking and physical examination in pediatric trauma cases.
Abstract:
Pancreatitis consists in acute inflammation of the pancreas that is clinically characterized by abdominal pain. To make the diagnosis it is necessary the elevation of biochemical markers like pancreatic amylase or lipase. It is the most frequent pancreatic disease in both children and adults. Its presentation in the pediatric population is increasing and has several etiologies such as: infections, trauma, intoxication and metabolic diseases. Trauma mechanisms have been described: child maltreatment, falls, trauma with the bicycle handle and traffic accidents. In this article, we present a case of pancreatitis secondary to an abdominal trauma with the handle of a bicycle in a patient of 7 years.
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