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   Isolated Pancreatic Tail Injury in Paediatrics; A Case Report and Literature Review  
   
نویسنده al kuddoos nabil muhammad ,ismail ahmad khaldun ,shen kevin wong chuing ,shibraumalisi nur amirah ,yunus asmil yuzairi
منبع bulletin of emergency and trauma - 2020 - دوره : 8 - شماره : 4 - صفحه:249 -252
چکیده    Pancreatic injury in paediatrics is a rare condition and can be difficult to diagnose. the diagnostic challenge is due to its symptom of vague abdominal pain which usually results in late presentation. elevated biochemical markers such as amylase and lipase can aid in the evaluation of pancreatic injury, however, it is not specific and is only evident after several hours of trauma. ultrasound is commonly used as a primary modality to evaluate abdominal organ injuries, but its role in detecting pancreatic injury is limited due to low sensitivity. high index of suspicion is needed to avoid undiagnosed pancreatic injury which could be lethal to children. we herein report a case of delayed presentation of isolated pancreatic tail injury in a child who was sufficiently diagnosed with ultrasound and treated conservatively. proper initial assessment and diagnosis will allow appropriate management of pancreatic injury. conservative management should include serial imaging to look at the evolution of pancreatic injury and detect complications such as pseudocyst or abscess formation.
کلیدواژه Pancreatic injury; Pancreatic trauma; Paediatrics; Malaysia
آدرس universiti kebangsaan malaysia medical centre, faculty of medicine, hospital canselor tuanku muhriz, department of emergency medicine, Malaysia, universiti kebangsaan malaysia medical centre, faculty of medicine, hospital canselor tuanku muhriz, department of emergency medicine, Malaysia, universiti kebangsaan malaysia medical centre, faculty of medicine, hospital canselor tuanku muhriz, department of emergency medicine, Malaysia, universiti teknologi mara (uitm), selayang campus, faculty of medicine, primary care medicine department, Malaysia, selayang hospital, department of radiology, Malaysia
 
     
   
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