[Pancreatic injuries in children. Apropos of 22 cases]

22 cases of blunt pancreatic trauma are reported (17 boys, 5 girls) for the period 1968-1986; 5 of them were received later after the accident. Early diagnosis was not made in eight polytrauma and suspected in 9 abdominal trauma; CT scanner confirmed it at earlier period (1 case); the lesion was revealed later by complication (pseudo-cyst) in 5 cases. The operative treatment (20 times for 22 children) included 15 earlier laparotomies, 1 secondary laparotomy (drain 8, suture 3, partial pancreatectomy 3, duodeno-pancreatectomy 1). 5 late interventions were performed for pseudo-cysts (4 parietal drain; 1 Roux-internal derivation). The results comprise 1 death, 7 good results and 14 cases with different complications but secondary available results.