Is a conservative approach to pancreatic rupture in children possible?

Pancreatic rupture in children usually requires surgical treatment and cannot be treated conservatively. In children with pancreatic rupture, pancreatic fluid can extravasate and cause diffuse peritonitis; the injury can also cause bleeding, which may lead to hemorrhagic shock if not treated promptly. Children with pancreatic rupture require surgery by cesarean section and cannot be treated conservatively. The goal of surgery is to stop bleeding, clear the pancreas, and control secretion from the pancreatic gland. If the pancreatic body is partially ruptured but the main pancreatic duct is still intact, mattress suture repair can be done; if the pancreas is severely ruptured, proximal suture and distal resection of the pancreas are needed; if the head of the pancreas is severely damaged, anastomosis of the main pancreatic duct or Roux-en-Y anastomosis can be considered. Postoperative drains should also be left in place to prevent pancreatic fistula. In the event of pancreatic injury, please send the patient to the doctor immediately.