{"id":2883,"date":"2026-06-25T16:27:30","date_gmt":"2026-06-25T13:27:30","guid":{"rendered":"https:\/\/pediatria-spisanie.eu\/2026\/06\/25\/travmatichen-pankreatit-v-detska-vuzrast\/"},"modified":"2026-08-07T10:39:12","modified_gmt":"2026-08-07T07:39:12","slug":"travmatichen-pankreatit-v-detska-vuzrast","status":"publish","type":"post","link":"https:\/\/pediatria-spisanie.eu\/en\/2026\/06\/25\/travmatichen-pankreatit-v-detska-vuzrast\/","title":{"rendered":"Traumatic pancreatitis in childhood"},"content":{"rendered":"\n

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S. Sukov, P. Slavov, R. Hristov, G. Hristov, N. Rasheva, M. Georgieva <\/h3>\n

\nHospital \u201cSt. Anna – Varna\u201d – Varna
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Abstract<\/h2>\n\n\n\n

Traumatic pancreatitis in childhood is a rare but potentially life-threatening condition, most commonly resulting from blunt abdominal trauma with a direct impact to the epigastric region. Clinical presentation is often nonspecific and may range from mild abdominal pain to an acute abdomen and shock, making early diagnosis challenging.
Laboratory findings and imaging studies play a key role in timely recognition and assessment of the severity of pancreatic injury. The authors present a clinical case of a 9-year-old boy admitted on an emergency basis after a bicycle accident with direct handlebar impact to the epigastrium. The patient presented in severe general condition with signs of an acute abdomen and shock. Laboratory test revealed a pronounced inflammatory res onse and markedly elevated pancreatic enzyme levels. Imaging and intraoperative findings confirmed pancreatic injury associated with hemoperitoneum and retroperitoneal hematomas. Emergency surgical intervention was performed, followed by prolonged
conservative management and close clinical monitoring. Exocrine pancreatic insufficiency and a small, asymptomatic post-traumatic pancreatic pseudocyst requiring follow-up were identified during the disease course.
This case emphasizes the significance of early diagnosis, a multidisciplinary pproach, and long-term management in pediatric traumatic pancreatitis.<\/p>\n\n\n\n

Key words:<\/strong> traumatic pancreatitis, children, blunt abdominal trauma, pancreatic pseudocyst<\/p>\n\n\n

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Bibliography<\/strong><\/h2>\n\n\n\n

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14. Keil, Radan et al. What is the role of endoscopic retrograde cholangiopancreatography in assessing traumatic rupture of the pancreatic in children?. Scandinavian journal of gastroenterology vol. 51,2 (2016): 218-24. doi:10.3109\/00365521.2015.1070899.<\/p>\n\n\n\n

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18. Aydogdu, Bahattin et al. Predicting pseudocyst formation following pancreatic trauma in pediatric patients. Pediatric surgery international vol. 32,6 (2016): 559-63. doi:10.1007\/s00383-016-3872-7.<\/p>\n\n\n\n

19. Lucaya, J et al. Non-operative management of traumatic pancreatic pseudocysts associated with pancreatic duct laceration in children. Pediatric radiology vol. 28,1 (1998): 5-8. doi:10.1007\/s002470050282.<\/p>\n\n\n\n

20. Dixit, P et al. Conservative management of a case of traumatic pancreatitis in childhood: a case report. European review for medical and pharmacological sciences vol. 18,12 (2014): 1687-9.<\/p>\n\n\n

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Address for correspondence<\/strong><\/p>\n\n\n\n

Dr. Stanislav Sukov<\/p>\n\n\n\n

\u201cSaint Anna – Varna\u201d, Hospital for active treatment
100, \u201cTsar Osvoboditel\u201d, Blvd. <\/p>\n\n\n\n

9000, Varna <\/p>\n\n\n\n

e-mail: sukov.stanislav1201@gmail.com<\/p>\n\n\n\n

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S. Sukov, P. Slavov, R. Hristov, G. Hristov, N. Rasheva, M. Georgieva
\nHospital \u201cSt. Anna – Varna\u201d – Varna<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_pediatria_doi":"10.66223\/pediatria.2026.2.006","footnotes":""},"categories":[1301,2683,3084,2678,1],"tags":[3117,1439,3133,3134,3132,3129,3127,3130,3131,3118,3128,3119,3121,3122,3123,3125,3126],"class_list":["post-2883","post","type-post","status-publish","format-standard","hentry","category-articles","category-issue-2-2026","category-broj-2-2026","category-statii","tag-blunt-abdominal-trauma","tag-children-en","tag-g-hristov-2","tag-m-georgieva-hospital-st-anna-varna-varna","tag-n-rasheva-2","tag-p-slavov-2","tag-pancreatic-pseudocyst","tag-r-hristov","tag-s-sukov-2","tag-traumatic-pancreatitis","tag-traumatic-pancreatitis-in-childhood","tag-traumatic-pancreatitis-in-childhood-s-sukov","tag-varna","tag-g-hristov","tag-m-georgieva-mbal-sv-anna","tag-p-slavov","tag-s-sukov"],"_links":{"self":[{"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/posts\/2883","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/comments?post=2883"}],"version-history":[{"count":2,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/posts\/2883\/revisions"}],"predecessor-version":[{"id":2886,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/posts\/2883\/revisions\/2886"}],"wp:attachment":[{"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/media?parent=2883"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/categories?post=2883"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pediatria-spisanie.eu\/en\/wp-json\/wp\/v2\/tags?post=2883"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}