소아에서 늑막 삼출액을 동반한 외상성 췌장 절단 및 췌장 주관 손상 1예
A Case of Traumatic Pancreatic Transection with Main Duct Disruption and Pleural Effusion in a Child
이가연, 허진석, 최연호, 이지현, 유혜수,
소속 상세정보
이가연 ( Lee Ga-Yeun )
성균관대학교 의과대학 삼성서울병원 소아과학교실
허진석 ( Heo Jin-Seok )
성균관대학교 의과대학 삼성서울병원 외과
최연호 ( Choe Yon-Ho )
성균관대학교 의과대학 삼성서울병원 소아과학교실
이지현 ( Lee Jee-Hyun )
성균관대학교 의과대학 삼성서울병원 소아과학교실
유혜수 ( Yoo Hye-Soo )
성균관대학교 의과대학 삼성서울병원 소아과학교실
KMID : 0816120070100010098
Abstract
An 8-year-old boy presented with abdominal pain and poor oral intake for two months. Serum amylase and lipase levels were elevated. CT of the abdomen and chest X-ray showed two pseudocysts at the pancreatic uncinate process, pancreatitis with a parenchymal defect, a large amount of ascites, and a right pleural effusion. MR cholangiography and endoscopic retrograde cholangiopanreaticography revealed a pancreatic duct disruption. The patient was successfully treated with a chest tube placement and percutaneous drainage. After surgery, his general condition improved; the serum level of amylase normalized and the pleural effusion resolved. Pancreatic injuries are rare in pediatric blunt trauma; however, diagnostic difficulty is common with isolated blunt trauma. Therefore, a high index of suspicion should follow such an injury. We report the case of an 8-year-old boy with pancreas transection, ductal disruption, ascites, and pleural effusion who was successfully treated.
키워드
Traumatic pancreatic transection;Main duct disruption;Child
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