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Abdominal pain without bruising or sign of trauma: pancreatic injuries in children is difficult to predict

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¹Ú¼Ò¿µ ( Bak So-Young ) 
Hallym University College of Medicine Hallym University Kangdong Sacred Heart Hospital Department of Pediatrics

ÀÌÇöÁÖ ( Lee Hyun-Joo ) 
Hallym University College of Medicine Hallym University Kangdong Sacred Heart Hospital Department of Pediatrics
¹éÇý¼º ( Baek Hey-Sung ) 
Hallym University College of Medicine Hallym University Kangdong Sacred Heart Hospital Department of Pediatrics
¾È¼ö¹Î ( Ahn Su-Min ) 
Hallym University College of Medicine Hallym University Sacred Heart Hospital Department of Surgery
Á¶±ÔÁ¾ ( Cho Gyu-Chong ) 
Hallym University College of Medicine Hallym University Kangdong Sacred Heart Hospital Department of Emergency Medicine

Abstract


Pancreatic injuries due to trauma in children are rare. An early diagnosis is difficult as the signs and symptoms are insidious, but delays in diagnosis can lead to significant complications. We report a case of a child who visited the emergency department with aggravating abdominal pain. The physicians first diagnosed the abdominal pain as being caused by a disease in the emergency department, but the patient was subsequently diagnosed with pancreatic injury. Clinicians should be aware of a possible trauma in children who complain of vague abdominal pain even in the absence of corresponding history.

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Abdominal Pain; Amylases; Child; Emergencies; Lipase; Pancreas; Pancreatic Pseudocyst

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