Department of Paediatrics, Apollo Hospitals, (Unit: International Hospital), Guwahati, India.
Department of Gastrointestinal Surgery, Apollo Hospitals, (Unit: International Hospital), Guwahati, India.
J Coll Physicians Surg Pak. 2022 Apr;32(4):541-543. doi: 10.29271/jcpsp.2022.04.541.
Bicycle handlebar injuries are the commonest cause of pancreatic trauma in children and adolescents, especially in males. Recognition of such injuries and initiation of correct treatment may be delayed when there is no abdominal wall bruising. We present a case of a 6-year boy with severe pancreatic trauma, who was referred from a local hospital following bicycle handlebar injury five days earlier. Contrast-enhanced computed tomography showed grade III pancreatic injury, which was repaired the following day; and he subsequently made a good recovery. The case highlights challenges faced by non-specialist clinicians working in resource-limited settings in diagnosing these injuries. Key Words: Bicycle handlebar injury, Blunt trauma, Pancreatic injury.
自行车把伤是儿童和青少年胰腺外伤最常见的原因，尤其是男性。当没有腹壁瘀斑时，可能会延迟对这些损伤的识别和正确治疗的开始。我们报告了一例 6 岁男孩，他在 5 天前因自行车把伤从当地医院转来。增强 CT 显示胰腺损伤 3 级，次日进行了修复，随后恢复良好。该病例强调了资源有限环境中非专科临床医生在诊断这些损伤时面临的挑战。关键词：自行车把伤、钝器伤、胰腺损伤。
