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Published on: September 28, 2019
Diagnosis of traumatic pancreatic duct rupture by on-table endoscopic retrograde pancreatography
P J Blind1, G Mellbring, M Hjertkvist
1Department of Surgery, University of Umeå, Sweden.
Insights
Endoscopic retrograde pancreatography (ERP) is crucial for diagnosing pancreatic duct rupture in children with blunt abdominal trauma. On-table ERP guided surgical decisions when CT and ultrasound failed to detect duct laceration.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Diagnostic Imaging
Background:
- Blunt abdominal trauma in children can cause pancreatic duct rupture, a serious injury.
- Accurate diagnosis of pancreatic duct injury is essential for appropriate surgical management.
- Conventional imaging like CT and ultrasound may not reliably detect pancreatic duct laceration.
Abstract:
We report on two children who sustained blunt abdominal trauma with pancreatic duct rupture diagnosed by ERP (endoscopic retrograde pancreatography). Examinations were done with patients on the operating table anesthetized for laparotomy (on-table ERP). In both patients, duct laceration remained undiagnosed by computerized tomography and ultrasonography. Operative strategy depends on whether the pancreatic duct is lacerated or not. Findings during on-table ERP allow decisions on operative strategy in patients with pancreatic trauma.
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