Predicting pseudocyst formation following pancreatic trauma in pediatric patients

Background There are insufficient data on pre-screening for pancreatic pseudocysts (PC) following pancreatic trauma. This study investigated the use of radiological and laboratory testing for predicting the development of pancreatic pseudocysts after trauma. Materials and methods The clinical record...

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Bibliographic Details
Published in:Pediatric surgery international 2016-06, Vol.32 (6), p.559-563
Main Authors: Aydogdu, Bahattin, Arslan, Serkan, Zeytun, Hikmet, Arslan, Mehmet Serif, Basuguy, Erol, İçer, Mustafa, Goya, Cemil, Okur, Mehmet Hanifi, Uygun, Ibrahim, Cıgdem, Murat Kemal, Onen, Abdurrahman, Otcu, Selcuk
Format: Article
Language:English
Subjects:
Abdominal Injuries - complications
Abdominal Injuries - diagnosis
Adolescent
Child
Female
Humans
Injury Severity Score
Male
Medicine
Medicine & Public Health
Original Article
Pancreas - surgery
Pancreatic Pseudocyst - diagnosis
Pancreatic Pseudocyst - etiology
Pediatric Surgery
Pediatrics
Retrospective Studies
Surgery
Tomography, X-Ray Computed
Wounds, Nonpenetrating - complications
Wounds, Nonpenetrating - diagnosis
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Summary:Background There are insufficient data on pre-screening for pancreatic pseudocysts (PC) following pancreatic trauma. This study investigated the use of radiological and laboratory testing for predicting the development of pancreatic pseudocysts after trauma. Materials and methods The clinical records of all pediatric patients presenting with pancreatic trauma between January 2003 and December 2014 were reviewed retrospectively. Patients with American Association for the Surgery of Trauma (AAST) scores of Grade 3–5 were enrolled. The patients were divided into groups that developed [Group 1 ( n  = 20)] and did not develop [Group 2 ( n  = 18)] PC. The patients were evaluated in terms of their baseline characteristics, additional injuries, Injury Severity Score (ISS), pancreatic injury site, blood amylase levels 2 h and 10–15 days after the trauma, clinical presentation, and duration of intensive care unit (ICU) stay. Findings We followed 38 patients. Of the patients in Group 1, 70 % had an injury to the tail of the pancreas. The ISS trauma scores and durations of hospitalization and ICU stay were significantly greater in Group 2 ( p  
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-016-3872-7