Multi-institutional experience with penetrating pancreatic injuries in children

Hanna Alemayehu, Kuojen Tsao, Mark L. Wulkan, Saleem Islam, Robert T. Russell, Todd A. Ponsky, Daniel C. Cullinane, Adam Alder, Shawn D. St. Peter, Corey W. Iqbal

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Purpose: Penetrating pancreatic injuries in children are uncommon and are not well described in the literature. We report a multi-institutional experience with penetrating pancreatic injuries in children.Methods: A retrospective review of children sustaining penetrating pancreatic injuries was performed at eight pediatric trauma centers.Results: Sixteen patients were identified. Eleven patients were male; (mean ± SE) age was 11.7 ± 1.2 years. The mechanism of injury was gun-shot wound in 14 patients and mean injury-severity score was 18 ± 3. All patients had associated injuries, most frequently small bowel injuries (n = 9). Patients had either grade I (n = 4), grade II (n = 7), or grade III (n = 4) injuries; there was a single grade V injury. All patients underwent exploratory celiotomy. Drainage of the injured pancreas was performed in 11 patients, and 2 patients underwent pancreatorrhaphy in addition to drainage; 3 underwent resection for grade III (n = 2) and grade V (n = 1) injuries. Thirteen patients required other intra-abdominal procedures. All patients required intensive care over a mean 11.0 ± 3.0 days. Mean duration of stay was 30.1 ± 5.6 days. Post-operative morbidity was 62.5 % with no mortalities.Conclusions: Penetrating pancreatic injuries in children are uncommon and most often due to firearms. There is a high association with other injuries particularly hollow viscous perforation.

Original languageEnglish
Pages (from-to)1107-1110
Number of pages4
JournalPediatric Surgery International
Issue number11
Publication statusPublished - 25 Oct 2014
Externally publishedYes


  • Children
  • Pancreatic trauma
  • Pediatric trauma
  • Penetrating trauma


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