Pediatr. praxi. 2016;17(4):260-262 | DOI: 10.36290/ped.2016.060

Bicycle handlebar injuries of pancreas in children

prof.MUDr.Vladimír Mihál, CSc.^1,2, MUDr.Tomáš Malý, Ph.D.³, MUDr.Kamila Michálková⁴

¹ Ústav molekulární a translační medicíny LF UP Olomouc

² Dětská klinika LF UP a FN v Olomouci

³ 1. chirurgická klinika LF UP a FN v Olomouci

⁴ Radiologická klinika LF UP a FN v Olomouci

Handlebar injuries are one of the most common causes of abdominal injuries in children. Early diagnosis and optimal care without

delay may help to reduce the morbidity of injuries to the internal organs. Children with abdominal handlebar injuries should be

treated with great care. We describe a young girl presented after a bicycle accident having received a sharp blow from her handlebars

to just below her left costal margin. She was admitted for observation and for her primary investigation. After becoming

peritonitic, her pancreatic amylase and lipase increased to 3,57 μkat/l and 16,37. Axial CT scan showed transection of the pancreas.

An endoscopic retrograde cholangio-pancreatography (ERCP) confirming ductal transection. In quest of bridging the pancreatic

duct and securing drainage of pancreatic juice, a pancreatic stent was placed preoperatively. Due to complete transection of the

pancreas body with simultaneous interruption of the pancreatic duct, distal pancreatectomy was performed with the spleen

saving. The patient recovered well and 12 weeks later, after the stent was removed, there was no evidence of pancreatic stricture.

Keywords: abdominal trauma, pancreas injury, children, handlebar injuries

Published: October 1, 2016  Show citation