A traumatic pancreatic transection despite a child safety seat

Acta Chir Belg. 2017 Jun;117(3):196-199. doi: 10.1080/00015458.2016.1242216. Epub 2016 Oct 13.


A 5-year-old boy sustained blunt abdominal trauma in a car crash. The buckle mechanism of the five-point harness of his child safety seat compressed his upper abdomen causing an isolated complete pancreatic rupture. Diagnosis was delayed due to subtle symptoms and normal initial findings. A CT scan confirmed diagnosis. An emergency limited central pancreatic resection was performed. The outcome was excellent.

Keywords: Pancreatic injury; five-point harness; surgery; trauma.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Injuries / diagnosis*
  • Abdominal Injuries / etiology*
  • Abdominal Injuries / surgery
  • Child
  • Child Restraint Systems / adverse effects*
  • Humans
  • Male
  • Pancreas / injuries*
  • Pancreatectomy
  • Wounds, Nonpenetrating / diagnosis*
  • Wounds, Nonpenetrating / etiology*
  • Wounds, Nonpenetrating / surgery