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Al Kuddoos NM, Ismail AK, Shen KWC, Shibraumalisi NA, Yunus AY. Isolated Pancreatic Tail Injury in Paediatrics; A Case Report and Literature Review. Bull Emerg Trauma 2020; 8:249-252. [PMID: 33426141 PMCID: PMC7783306 DOI: 10.30476/beat.2020.85719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Pancreatic injury in paediatrics is a rare condition and can be difficult to diagnose. The diagnostic challenge is due to its symptom of vague abdominal pain which usually results in late presentation. Elevated biochemical markers such as amylase and lipase can aid in the evaluation of pancreatic injury, however, it is not specific and is only evident after several hours of trauma. Ultrasound is commonly used as a primary modality to evaluate abdominal organ injuries, but its role in detecting pancreatic injury is limited due to low sensitivity. High index of suspicion is needed to avoid undiagnosed pancreatic injury which could be lethal to children. We herein report a case of delayed presentation of isolated pancreatic tail injury in a child who was sufficiently diagnosed with ultrasound and treated conservatively. Proper initial assessment and diagnosis will allow appropriate management of pancreatic injury. Conservative management should include serial imaging to look at the evolution of pancreatic injury and detect complications such as pseudocyst or abscess formation.
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Affiliation(s)
- Nabil Muhammad Al Kuddoos
- Department of Emergency Medicine, Faculty of Medicine, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia.,Corresponding Author: Nabil Muhammad Al Kuddoos, Address: Department of Emergency Medicine, Faculty of Medicine, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia. e-mail:
| | - Ahmad Khaldun Ismail
- Department of Emergency Medicine, Faculty of Medicine, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia.
| | - Kevin Wong Chuing Shen
- Department of Emergency Medicine, Faculty of Medicine, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia.
| | - Nur Amirah Shibraumalisi
- Primary Care Medicine Department, Faculty of Medicine, UiTM, Selayang Campus, 68100, Batu Caves, Selangor Darul Ehsan, Malaysia
| | - Asmil Yuzairi Yunus
- Department of Radiology, Selayang Hospital, 68100, Batu Caves, Selangor Darul Ehsan, Malaysia
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