Traumatic pancreatic ductal injury treated by endoscopic stenting in a 9-year-old boy: A case report

doi:10.12998/wjcc.v11.i16.3885

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Case Report

World J Clin Cases. Jun 6, 2023; 11(16): 3885-3890
Published online Jun 6, 2023. doi: 10.12998/wjcc.v11.i16.3885

Traumatic pancreatic ductal injury treated by endoscopic stenting in a 9-year-old boy: A case report

Hyung Jun Kwon, Min Kyu Jung, Jinyoung Park

Hyung Jun Kwon, Jinyoung Park, Department of Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu 41944, South Korea

Min Kyu Jung, Department of Internal Medicine, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu 41944, South Korea

Author contributions: Kwon HJ, Jung MK, and Park J contributed to manuscript writing and editing, and data collection; Kwon HJ and Park J contributed to data analysis; Jung MK contributed to conceptualization and supervision; All authors have read and approved the final manuscript.

Informed consent statement: Informed written consent was obtained from the patient and his parents for publication of this case report and any accompanying images.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).

Corresponding author: Jinyoung Park, MD, PhD, Professor, Surgeon, Department of Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-gu, Daegu 41944, South Korea. kpnugs@knu.ac.kr

Received: March 7, 2023
Peer-review started: March 7, 2023
First decision: March 24, 2023
Revised: March 27, 2023
Accepted: April 24, 2023
Article in press: April 24, 2023
Published online: June 6, 2023
Processing time: 87 Days and 5.5 Hours

Abstract

BACKGROUND

Traumatic pancreatic injury is relatively rare in children, accounting for approximately 3%-12% of blunt abdominal trauma cases. Most traumatic pancreatic injuries in boys are related to bicycle handlebars. Traumatic pancreatic injuries often result in delayed presentation and treatment, leading to high morbidity and mortality. The management of children with traumatic main pancreatic duct injuries is still under debate.

CASE SUMMARY

We report the case of a 9-year-old boy who was presented at our institution with epigastric pain after being stuck with his bicycle handlebar at the upper abdomen and then treated with endoscopic stenting because of a pancreatic ductal injury.

CONCLUSION

We believe that endoscopic stenting of pancreatic ductal injuries may be a feasible technique in certain cases of children with traumatic pancreatic duct injuries to avoid unnecessary operations.

Keywords: Pancreatic injury; Trauma; Endoscopic pancreatic stent; Pediatrics; Case report

Core Tip: Traumatic pancreatic injuries often result in delayed presentation and treatment, leading to high morbidity and mortality. The management of children with traumatic main pancreatic duct injuries is still under debate. We report the case of a 9-year-old boy who was presented at our institution with epigastric pain after being stuck with his bicycle handlebar at the upper abdomen and then treated with endoscopic stenting because of a pancreatic ductal injury. We believe that endoscopic stenting of pancreatic ductal injuries may be a feasible technique in certain cases of children with traumatic pancreatic duct injuries to avoid unnecessary operations.