Bloss R S, Cooley D A
J Pediatr Surg. 1981 Feb;16(1):79-81. doi: 10.1016/s0022-3468(81)80123-6.
Pancreatitis is generally restricted to adults, most often caused or aggravated by alcoholism or biliary tract disorders, and rarely develops in children. When the diagnosis is made, the patient usually can be treated medically; however, the disease often has nonspecific early symptoms and is not discovered until potentially fatal complications have ensued. We present an unusual case of severe posttraumatic pancreatic ascites in an anemic 3-yr-old child whose parents were of the Jehovah's Witness faith. She underwent successful surgical treatment involving distal pancreaticojejunostomy with preservation of the spleen.
胰腺炎一般多见于成年人,多由酗酒或胆道疾病引发或加重,在儿童中很少发生。确诊时,患者通常可接受药物治疗;然而,该病早期症状往往不具特异性,直到出现可能致命的并发症时才被发现。我们报告一例罕见病例,一名3岁贫血儿童因外伤后出现严重胰腺腹水,其父母为耶和华见证人会信徒。她接受了成功的手术治疗,即保留脾脏的远端胰空肠吻合术。