Abstract
Blunt abdomina l t r a u m a accounts for at least half the repor ted cases of pseudocyst of the pancreas in ch i ld ren? In some of the 30 per cent of repor ted cases in which the cause is not identified 4 unsuspected t r auma may actual ly be the cause. Abdomina l t r a u m a in school age chi ldren is usually the result of accidenta l i n ju ry -b i cyc l e handlebars, contact sports, or traffic accidents. The si tuation is somewhat different in the case of chi ldren under 3 years of age. I n this age group our experience leads us to believe that when a pseudocyst of the pancreas is found, and no acceptable explana t ion for its occurrence is for thcoming, the possibility of child abuse should be considered. We believe that t r auma t i c pseudocyst of the pancreas due to child abuse is more common than the l i te ra ture current ly indicates, and tha t some of the repor ted cases of pseudocyst of the pancreas in children, especially those repor ted in infants and toddlers, may in fact be the result of child abuse.
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