[Treatment of pancreas lesions in childhood]

Although lesions of the pancreas are rare injuries in childhood, serious pancreatic lesions should be considered after blunt abdominal trauma initially. The typical feature of rupture of the pancreas is characterized by fall on a bicycle handlebar and a round circumscript sign in the upper abdomen. The management is determined by the situation: Nasogastric suction and i.v. alimentation in case of pancreatic contusion. Surgical intervention and local external drainage in case of parenchymal rupture and Roux'enteroanastomosis in the event of injury of the pancreatic duct are recommended. The implantation of a pancreatico-cutaneous fistula into the duodenum is reported.