Abstract
Pancreatic trauma is rare in adults but has an increased incidence in pediatric patients. A 12-year-old, Southeast Asian patient presented with abdominal trauma to her umbilical region. On sonographic examination, a complex pancreatic head lesion was identified; multiple differentials given were that of a hematoma, walled-off pancreatic necrosis (WOPN), or a solid pseudopapillary epithelial neoplasm. A magnetic resonance imaging, blood analysis, and biopsy of this lesion were non-conclusive. Serial ultrasounds over 94 weeks from date of injury showed a change in the pancreatic echogenicity and correlated with blood work to be pancreatitis; followed by the resolution of the pancreatic head lesion. The lesion was diagnosed as a complication of pancreatic trauma and called a WOPN.
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