Diagnostic double strike in the emergency room
- \(\textbf {Background:}\) Pancreatic injuries are rare in cases of blunt abdominal trauma and therefore easily misdiagnosed at time of hospital admission. They are associated with a significantly elevated morbidity and lethality. Bicycle handlebar injuries are the most common cause of pancreatic trauma in children and adolescents. \(\textbf {Case presentation:}\) We report two cases of a 23-year-old Caucasian woman and a 15-year-old Caucasian boy who presented to our clinic with a similar history of a bicycle accident on 2 consecutive days. Both suffered from a fall from a bicycle with bicycle handlebar injury 4 and 6 days prior to admission in our clinic. Emergency distal pancreatectomies were performed in both cases. \(\textbf {Conclusions:}\) Pancreatic injuries must be highly suspected in bicycle handlebar injuries, even if amylase/lipase levels or ultrasound findings seem unremarkable. The best initial strategies are early computed tomography and a quick referral to a level 1 trauma center. Distal pancreatectomy is the treatment of choice in cases of complete rupture of the pancreatic body.
| Author: | Andreas Minh LuuORCiDGND, Kirsten MeurerGND, Torsten HerzogGND, Waldemar UhlORCiDGND, Chris BraumannORCiDGND |
|---|---|
| URN: | urn:nbn:de:hbz:294-60077 |
| DOI: | https://doi.org/10.1186/s13256-018-1594-2 |
| Parent Title (English): | Journal of medical case reports |
| Subtitle (English): | two cases of complete pancreatic ruptures due to bicycle handlebar injuries on two consecutive days |
| Document Type: | Article |
| Language: | English |
| Date of Publication (online): | 2018/07/20 |
| Date of first Publication: | 2018/03/26 |
| Publishing Institution: | Ruhr-Universität Bochum, Universitätsbibliothek |
| Tag: | Open Access Fonds Bicycle handlebar injury; Bike fall; Blunt abdominal trauma; Pancreatic fracture; Pancreatic rupture |
| Volume: | 12 |
| First Page: | 85-1 |
| Last Page: | 85-4 |
| Note: | Article Processing Charge funded by the Deutsche Forschungsgemeinschaft (DFG) and the Open Access Publication Fund of Ruhr-Universität Bochum. |
| Institutes/Facilities: | St. Josef-Hospital Bochum, Klinik für Allgemein- und Viszeralchirurgie |
| Dewey Decimal Classification: | Technik, Medizin, angewandte Wissenschaften / Medizin, Gesundheit |
| open_access (DINI-Set): | open_access |
| faculties: | Medizinische Fakultät |
| Licence (English): |  Creative Commons - CC BY 4.0 - Attribution 4.0 International |
