The importance of endoscopic retrograde cholangiopancreatography in adolescent patient with traumatic rupture of pancreatic duct

Czech version

Authors: J. Lochmannová ¹; R. Keil ¹; L. Douda ¹; J. Drábek ¹; J. Šťovíček ¹; J. Chudý ¹; M. Rygl ²; J. Šnajdauf ²; O. Petrů ²
Authors‘ workplace: Interní klinika 2. LF UK a FN v Motole, Praha ¹; Klinika dětské chirurgie 2. LF UK a FN v Motole, Praha ²
Published in: Gastroent Hepatol 2013; 67(6): 474-478
Category: Digestive Endoscopy: Case Report

Overview

The traumatic injury of the pancreatic duct in children is rare and almost in every cases is connected with an existing injury of the pancreatic parenchymal tissue. The most frequent reason is a blunt abdominal trauma. If there is a suspicion of the pancreatic duct injury, the endoscopic retrograde cholangiopancreatography is indicated to map the pancreatic ductal system. If the pancreatic duct leasion is approved one of the treatment strategies which can be considered is the intraductal placement of the pancretic stent. The authors describe a case of a 14-year-old child with a traumatic pancreatic duct injury after a blunt abdominal trauma in who the urgent ERCP with a placement of the pancreatic stent was undertaken.

Key words:
rupture – pancreatic duct – endoscopic retrograde cholangiopancreatography – Sandostatin – posttraumatic pseudocyst

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted:
18. 4. 2013

Accepted:
18. 11. 2013

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