INTRODUCTION: @entity660 secondary to blunt @entity1661 is a rare finding compared to other solid organ injuries. Diagnosis is difficult because of vague clinical presentation, quality of screening radiography and laboratory testing, and experience of practitioners. Furthermore, a lack of consensus on treatment modalities based on the @entity130 ( @entity130 ) can further confuse management of pediatric @entity1 . CASE REPORT: We report two cases of pediatric @entity788 . Both involved @entity130 demonstrated on imaging. Both @entity1 qualify as grade III injuries according to the @entity130 as developed by the American Association for the Surgery of @entity130 . Both @entity1 were managed non-operatively using nasogastric suction, NPO, and total parenteral nutrition (TPN). Both @entity1 had complete resolution of their @entity660 without @entity9007 formation or need for any operative intervention. CONCLUSION: The two cases presented illustrate severe pediatric @entity788 resolving after a non-operative course. A lack of consensus exists on whether severe @entity788 should be addressed operatively or non-operatively, owing to differences in hospital stay and cost to the @entity1 , time to resolution, and need for TPN. The pediatric surgery community is equally divided between early operative intervention and non-operative management. Inexperience with @entity788 diagnosis and work-up can lead to delayed treatment and poor clinical outcomes. These cases show successful early diagnosis with non-operative treatment and good long-term clinical results.

High-grade @entity788 in pediatric XXXX : two cases of successful non-operative management.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity788 :: ('MESH:D010190', 'Disease') :: ['pancreatic trauma'] @entity1661 :: ('MESH:D000008', 'Disease') :: ['abdominal trauma'] @entity660 :: ('MESH:D010182', 'Disease') :: ['pancreatic injury', 'Pancreatic injury'] @entity9007 :: ('MESH:D010192', 'Disease') :: ['pseudocyst'] @entity130 :: ('MESH:D014947', 'Disease') :: ['OIS', 'ductal injury', 'Trauma', 'organ injury scale']
@entity1 :: (9606,Species) :: ['patients']
