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Computed tomography (CT) imaging revealed an isolated grade three pancreatic injury managed conservatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>The patient usually presents with epigastric tenderness with or without a rise in pancreatic enzyme levels. CT grading of injury correlates with and guides the management approach, and CT abdomen with contrast is the preferred investigation for diagnosis. Management depends on the grade of injury, the hemodynamic status of the children, and the co-existence of other injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Isolated pancreatic injury, although rare, can go undiagnosed due to a lack of suspicion from the treating surgeon and may have dire consequences. Conservative management can be a suitable strategy for children with stable hemodynamic status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109280","type":"journal-article","created":{"date-parts":[[2024,1,21]],"date-time":"2024-01-21T03:44:06Z","timestamp":1705808646000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Isolated pancreatic injury following blunt trauma in a seven-year-old girl: A case report"],"prefix":"10.1097","volume":"115","author":[{"given":"Om Prakash","family":"Bhatta","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Nova Hospital, Kailali, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prashant","family":"Bhetwal","sequence":"additional","affiliation":[{"name":"Panchkhal Primary Health Care Centre, Kavrepalanchowk, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prakash","family":"Gyawali","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Sukraraj Tropical and Infectious Disease Hospital, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krishna","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shritik","family":"Devkota","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dinesh Prasad","family":"Koirala","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-77-20260408","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1097\/TA.0000000000001224","article-title":"Isolated blunt pancreatic trauma: a benign injury?","volume":"81","author":"Siboni,","year":"2016","journal-title":"J. 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