Manipal Hospital EM Bypass & Mukundapur Cluster Saved a 7-year-old Child from Rare & Life-threatening Pancreatic Injury

News Desk, News Nation 360 : Dr. Pradeepta Kumar Sethy, Director of Gastroenterology at Manipal Hospital EM Bypass and Mukundapur Cluster, rescued the life of a small kid who had suffered a rare and devastating pancreatic damage at home, marking a historic milestone in trauma and paediatric gastroenterology. Dr Sethy and his team's prompt diagnosis and expert care turned out to be the difference in what might have been a tragic situation. Deep Adhikary (name changed), a 7-year-old school-going child from Kolaghat, Purba Midnapur, got seriously hurt when a metal bookshelf fell on his chest and abdomen while he tried to climb it. He was first treated at a local hospital, where traumatic liver injury was suspected—the usual outcome in such trauma—and was immediately referred to Manipal Hospital Mukundapur for further diagnostic and therapeutic intervention. Additional assessment by CT scan and MRCP showed a much more complicated condition with severe pancreatic damage, with total disruption of the pancreatic duct, leading to leakage of digestive juices into the abdomen rather than reaching the intestine. This form of pancreatic injury is very rare and difficult to treat, as leakage of pancreatic secretions can cause life-threatening infection and organ damage. The patient was referred to Dr. Pradeepta Kumar Sethy, the Director of Gastroenterology, Manipal Hospital's EM Bypass and Mukundapur clusters, who advised an Endoscopic Retrograde Cholangiopancreatography (ERCP) with stenting of the duct—a technically challenging but minimally invasive procedure. Deep was treated at the Pediatric ICU of Manipal Hospital, Mukundapur, under the care of a professional medical team consisting of Dr. Prasanta Debnath, Dr. Rahul Samanta, and Dr. P Kumar, all of whom are consultants in Medical Gastroenterology and provided overall and expert treatment. Explaining the challenge, Dr Pradeepta Kumar Sethy, stated that children's pancreatic duct disruption is extremely uncommon, and its treatment necessitates a very careful balance. While conservative treatment runs the danger of deadly consequences from pancreatic fluid leaking, surgery may make the situation worse. The only practical choice in this instance was ERCP with stenting. Although technically challenging, it gave the infant the best chance of surviving. To allow pancreatic juices to flow into the intestine instead of leaking into the belly, a stent was placed to bridge the severed pancreatic duct during the treatment.

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