<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5552</journal-id>
<journal-title><![CDATA[Revista Salud Uninorte]]></journal-title>
<abbrev-journal-title><![CDATA[Salud, Barranquilla]]></abbrev-journal-title>
<issn>0120-5552</issn>
<publisher>
<publisher-name><![CDATA[Fundación Universidad del Norte, División de Ciencias de la]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-55522024000200677</article-id>
<article-id pub-id-type="doi">10.14482/sun.40.02.277.763</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trauma pancreático en paciente lactante y manejo quirúrgico mediante procedimiento de Letton - Wilson]]></article-title>
<article-title xml:lang="en"><![CDATA[Pancreatic trauma in an infant patient and surgical management using the Letton-Wilson procedure]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[ROMERO ESPITIA]]></surname>
<given-names><![CDATA[WALTER DAVID]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[MEJÍA ISAZA]]></surname>
<given-names><![CDATA[DANIEL ERNESTO]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[YEPES SARMIENTO]]></surname>
<given-names><![CDATA[AURA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Fundación SanVicente  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Gestar Innovación S.A.S  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2024</year>
</pub-date>
<volume>40</volume>
<numero>2</numero>
<fpage>677</fpage>
<lpage>683</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-55522024000200677&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-55522024000200677&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-55522024000200677&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Las lesiones pancreáticas son poco comunes, pero dan lugar a una morbilidad y mortalidad que varía entre el 3 y el 17 %. Se presenta el caso de un paciente de cinco años que ingresó por trauma pancreático con disrupción del ducto pancreático secundario a maltrato infantil. Se realizó diagnóstico y manejo quirúrgico oportuno mediante un procedimiento de Letton - Wilson, preservando páncreas distal y bazo. El paciente se recuperó satisfactoriamente sin complicaciones y fue dado de alta después de 12 días. Se discuten las implicaciones del trauma pancreático en la infancia y se enfatiza la importancia del diagnóstico temprano y el tratamiento adecuado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Pancreatic lesions are uncommon but result in morbidity and mortality ranging from 3% to 17 %. The case of a five-year-old patient who was admitted due to pancreatic trauma with disruption of the pancreatic duct secondary to child abuse is presented. Opportune diagnosis and surgical management were performed using a Letton-Wilson procedure, preserving the distal pancreas and spleen. The patient made a satisfactory recovery without complications and was discharged after 12 days. The implications of childhood pancreatic trauma are discussed, emphasizing the importance of early diagnosis and appropriate treatment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[heridas y traumatismos]]></kwd>
<kwd lng="es"><![CDATA[páncreas]]></kwd>
<kwd lng="es"><![CDATA[pancreatoyeyunostomia]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="en"><![CDATA[Wounds and Injures]]></kwd>
<kwd lng="en"><![CDATA[páncreas]]></kwd>
<kwd lng="en"><![CDATA[pancreaticojejunostomy]]></kwd>
<kwd lng="en"><![CDATA[pediatrics]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Englum]]></surname>
<given-names><![CDATA[BR]]></given-names>
</name>
<name>
<surname><![CDATA[Gulack]]></surname>
<given-names><![CDATA[BC]]></given-names>
</name>
<name>
<surname><![CDATA[Rice]]></surname>
<given-names><![CDATA[HE]]></given-names>
</name>
<name>
<surname><![CDATA[Scarborough]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Adibe]]></surname>
<given-names><![CDATA[OO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of blunt pancreatic trauma in children: Review of the National Trauma Data Bank]]></article-title>
<source><![CDATA[Journal of Pediatric Surgery]]></source>
<year>2016</year>
<volume>51</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1526-31</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rothrock]]></surname>
<given-names><![CDATA[SG]]></given-names>
</name>
<name>
<surname><![CDATA[Green]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Morgan]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Abdominal trauma in infants and children: Prompt identification and early management of serious and life-threatening injuries. Part I: Injury patterns and initial assessment]]></article-title>
<source><![CDATA[Pediatric Emergency Care]]></source>
<year>2000</year>
<volume>16</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>106-15</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arkovitz]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Johnson]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia]]></surname>
<given-names><![CDATA[VF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pancreatic Trauma in Children]]></article-title>
<source><![CDATA[The Journal of Trauma: Injury, Infection, and Critical Care]]></source>
<year>1997</year>
<volume>42</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>49-53</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rescorla]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Plumley]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Sherman]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Scherer]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
<name>
<surname><![CDATA[West]]></surname>
<given-names><![CDATA[KW]]></given-names>
</name>
<name>
<surname><![CDATA[Grosfeld]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The efficacy of early ERCP in pediatric pancreatic trauma]]></article-title>
<source><![CDATA[Journal of Pediatric Surgery]]></source>
<year>1995</year>
<volume>30</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>336-40</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fry]]></surname>
<given-names><![CDATA[DE]]></given-names>
</name>
<name>
<surname><![CDATA[Feliciano]]></surname>
<given-names><![CDATA[DV]]></given-names>
</name>
<name>
<surname><![CDATA[Mattox]]></surname>
<given-names><![CDATA[KL]]></given-names>
</name>
<name>
<surname><![CDATA[Moore]]></surname>
<given-names><![CDATA[EE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pancreatic trauma: a ten-year experience]]></article-title>
<source><![CDATA[J Trauma]]></source>
<year>1992</year>
<volume>33</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>200-7</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Levine]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Lillemoe]]></surname>
<given-names><![CDATA[KD]]></given-names>
</name>
<name>
<surname><![CDATA[Cameron]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Pitt]]></surname>
<given-names><![CDATA[HA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pancreatic trauma: indications and results of operative management]]></article-title>
<source><![CDATA[Ann Surg]]></source>
<year>1993</year>
<volume>218</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>726-34</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Franz]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Apodaca-Torrez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Saad]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Goldenberg]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Triviño]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Lobo]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pancreatectomía central. Relato de casos y descripción de la técnica* Casos Clínicos]]></article-title>
<source><![CDATA[Rev Chilena de Cirugía]]></source>
<year>2010</year>
<volume>62</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>59-64</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lillemoe]]></surname>
<given-names><![CDATA[KD]]></given-names>
</name>
<name>
<surname><![CDATA[Kaushal]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Cameron]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Sohn]]></surname>
<given-names><![CDATA[TA]]></given-names>
</name>
<name>
<surname><![CDATA[Pitt]]></surname>
<given-names><![CDATA[HA]]></given-names>
</name>
<name>
<surname><![CDATA[Yeo]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Distal Pancreatectomy: Indications and Outcomes in 235 Patients]]></article-title>
<source><![CDATA[Annals of Surgery]]></source>
<year>1999</year>
<volume>229</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>693</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lahiri]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Bhattacharya]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pancreatic trauma]]></article-title>
<source><![CDATA[Ann R Coll Surg Engl]]></source>
<year>2013</year>
<volume>95</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>241-5</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Houben]]></surname>
<given-names><![CDATA[CH]]></given-names>
</name>
<name>
<surname><![CDATA[Ade-Ajayi]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Patel]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Kane]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Karani]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Devlin]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Traumatic pancreatic duct injury in children: minimally invasive approach to management]]></article-title>
<source><![CDATA[Journal of Pediatric Surgery]]></source>
<year>2007</year>
<volume>42</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>629-35</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chinnery]]></surname>
<given-names><![CDATA[GE]]></given-names>
</name>
<name>
<surname><![CDATA[Krige]]></surname>
<given-names><![CDATA[JEJ]]></given-names>
</name>
<name>
<surname><![CDATA[Kotze]]></surname>
<given-names><![CDATA[UK]]></given-names>
</name>
<name>
<surname><![CDATA[Navsaria]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Nicol]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical management and outcome of civilian gunshot injuries to the pancreas]]></article-title>
<source><![CDATA[The British Journal of Surgery]]></source>
<year>2012</year>
<numero>99^s1</numero>
<issue>99^s1</issue>
<supplement>1</supplement>
<page-range>140-8</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Norton]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Kobusingye]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Injuries]]></article-title>
<source><![CDATA[New England Journal of Medicine]]></source>
<year>2013</year>
<volume>368</volume>
<numero>18</numero>
<issue>18</issue>
<page-range>1723-30</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gaines]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intra-Abdominal Solid Organ Injury in Children: Diagnosis and Treatment]]></article-title>
<source><![CDATA[The Journal of Trauma: Injury, Infection, and Critical Care]]></source>
<year>2009</year>
<volume>67</volume>
<numero>^sSuppl</numero>
<issue>^sSuppl</issue>
<supplement>Suppl</supplement>
<page-range>S135-9</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bosboom]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Braam]]></surname>
<given-names><![CDATA[AWE]]></given-names>
</name>
<name>
<surname><![CDATA[Blickman]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
<name>
<surname><![CDATA[Wijnen]]></surname>
<given-names><![CDATA[RMH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The role of imaging studies in pancreatic injury due to blunt abdominal trauma in children]]></article-title>
<source><![CDATA[European Journal of Radiology]]></source>
<year>2006</year>
<volume>59</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>3-7</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rosenfeld]]></surname>
<given-names><![CDATA[EH]]></given-names>
</name>
<name>
<surname><![CDATA[Vogel]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Klinkner]]></surname>
<given-names><![CDATA[DB]]></given-names>
</name>
<name>
<surname><![CDATA[Escobar]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gaines]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Russell]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The utility of ERCP in pediatric pancreatic trauma]]></article-title>
<source><![CDATA[Journal of Pediatric Surgery]]></source>
<year>2017</year>
<page-range>S0022-3468(17)306607</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Braungart]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Beattie]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Midgley]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Powis]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Implications of a negative abdominal CT in the management of pediatric blunt abdominal trauma]]></article-title>
<source><![CDATA[Journal of Pediatric Surgery]]></source>
<year>2017</year>
<volume>52</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>293-8</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Westgarth-Taylor]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Loveland]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Paediatric pancreatic trauma: A review of the literature and results of a multicentre survey on patient management]]></article-title>
<source><![CDATA[South African Medical Journal]]></source>
<year>2014</year>
<volume>104</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>803</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[obst]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Canty]]></surname>
<given-names><![CDATA[TG]]></given-names>
</name>
<name>
<surname><![CDATA[Lynch]]></surname>
<given-names><![CDATA[FP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of pancreatic injury in pediatric blunt abdominal trauma]]></article-title>
<source><![CDATA[Journal of Pediatric Surgery]]></source>
<year>1999</year>
<volume>34</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>818-23</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
