Pancreatic Trauma

Steven Stylianos, MD, Barry R. Cofer, MD, Kathryn D. Bass, MD

Pancreatic Trauma is a topic covered in the Pediatric Surgery NaT.

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Introduction

The management of pancreatic trauma differs from that of other solid organ injuries. Pancreatic trauma occurs most commonly in the setting of blunt trauma and the pediatric surgeon must evaluate the other solid organs (i.e. liver and spleen) which are commonly involved in the injury pattern. A decision is then made regarding which strategy is most appropriate - nonoperative management or early surgical intervention. The reader should be able to identify common mechanisms of injury for pancreatic trauma, strategies for management to optimize splenic preservation and the expected outcomes of each approach.