Acute pancreatitis is relatively rare in children. Published local data on childhood pancreatitis is even vanishingly scarce. Our intent is to evaluate the demography, aetiology, clinical course, and complications of children with acute pancreatitis.Materials andMethods:A single-centre, retrospective review of patients aged 12 years or younger, admitted between January 2016 to February 2018 with the diagnosis of acute pancreatitis performed. Demographic data, aetiology, and serum amylase on admission were collected. DeBanto score for assessment of severity was calculated (at admission and at 48H) and patients’ clinical outcome was assessed.Results:A total of eight patients, aged between 3 to 12 years (median 8.0 years) were diagnosed with acute pancreatitis. Malays made up the majority (50%) but the Orang Asli is over-represented at 37.5%. Most were idiopathic (50%), but 25% of pancreatitis were caused by helminths. All patients presented with abdominal pain as the primary complaint. Most of them followed a mild course of disease; all but one patient had a DeBanto score of
We are reporting a case of previously undiagnosed hepatoblastoma in a healthy child, who presented acutely in a post-traumatic setting.We reported a7-year-old boy, with no previous medical history, presented with gradual worsening abdominal pain following an episode of trivial trauma to the abdomen two weeks prior. He was anaemic at presentation, and had a distended abdomen with a tender enlarged liver. Computed tomography (CT) of the abdomen showed a grossly enlarged left lobe of the liver, within which was an organized hematoma. Serum alpha-fetoprotein (α-FP) was raised significantly. The liver injury was managed conservatively and the child recovered well. He is set to undergo staging scans and further workup, in anticipation of subsequent systemic therapy.Though exceedingly unlikely in older children, the diagnosis of hepatoblastoma should be entertained in those with an enlarged liver with a clinical presentation masquerading as a ‘straightforward’ liver injury.