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Adamson, W.T., Hebra, A., Thomas, P.B., Wagstaff, P., Tagge, E.P. and Othersen, H.B. (2003) Serum Amylase and Lipase Alone Are Not Cost-Effective Screening Methods for Pediatric Pancreatic Trauma. Journal of Pediatric Surgery, 38, 354-357.
http://dx.doi.org/10.1053/jpsu.2003.50107

has been cited by the following article:

• TITLE: Blunt Abdominal Trauma Leading to Pancreatic Injury in Childhood. Delay in Diagnosis Leads to Poor Outcomes—A Case Presentation

  AUTHORS: Zohaib A. Siddiqui, Fahd Husain, Midhat N. Siddiqui

  KEYWORDS: Paediatric Trauma, Blunt Abdominal Injury, Pancreatic Injury

  JOURNAL NAME: International Journal of Clinical Medicine, Vol.7 No.12, November 30, 2016

  ABSTRACT: This case report illustrates the difficulty in diagnosing paediatric patients with life threatening pancreatic injuries. A high index of suspicion is essential as late diagnosis significantly affects outcomes. A 9-year-old child presented with epigastric pain following an accident on his pushbike. The patient was examined in paediatric accident and emergency (A/E) and was discharged. He returned twice more to A/E and on the third visit, 5 days after the initial incident, a CT scan was performed. This showed a classical injury to the body of the pancreas with a collection in the lesser sac. The patient was transferred to the regional hepato-pancreato-biliary unit (HPB unit) and underwent surgery. Pancreatic injuries can be difficult to detect clinically and patients may be well on initial presentation with normal observations and routine bloods. Early CT scanning confirms the diagnosis and results in early specialist referral and better outcomes.