자전거 손잡이에 의해 발생한 소아 췌장 손상 1례
Pancreatic Injury Involving Bicycle Handlebar in a Pediatric Patient
최재연, 곽영호, 김도균, 정재윤, 서동범, 장익완,
소속 상세정보
최재연 ( Choi Jea-Yeon )
서울대학교 의과대학 응급의학교실
곽영호 ( Kwak Young-Ho )
서울대학교 의과대학 응급의학교실
김도균 ( Kim Do-Kyun )
서울대학교 의과대학 응급의학교실
정재윤 ( Jung Jae-Yun )
서울대학교 의과대학 응급의학교실
서동범 ( Suh Dong-Bum )
서울대학교 의과대학 응급의학교실
장익완 ( Chang Ik-Wan )
서울대학교 의과대학 응급의학교실
KMID : 1037620140010010065
Abstract
Significant pancreatic injuries can occur with minor handlebar trauma. Timely diagnosis of pancreatic injuries is critically important, since delayed diagnosis is the greatest determinant of morbidity. Children presenting to the emergency department after bicycle accidents should be treated with a high concern of suspicion regarding combined intra-abdominal trauma. The standard clinical approach of repeated regular physical examination and the use of abdomen CT examination should be followed. We report a case of pancreatic injury after blunt trauma by a bicycle handlebar. This 7-year-old boy experienced spleen preserving distal pancreatectomy with cholecystectomy. The initial symptom and signs were vague or uncertain. However, he revisited the emergency department with aggravated abdominal pain and vomiting. In conclusion, handlebar injuries must be considered potentially serious, no matter how trivial the accident may appear.
키워드
Pancreas; Child; Abdominal Injuries
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