Pancreatic Pseudocyst in children

Authors

  • Elena HANGANU Universitatea de Medicină şi Farmacie “Grigore T. Popa”
  • Valentin MUNTEANU Universitatea de Medicină şi Farmacie “Grigore T. Popa”
  • Dana MĂNDRĂȘESCU Clinica de Chirurgie Pediatrică a Spitalului Clinic de Urgenţă pentru Copii “Sfânta Maria”
  • ALMA LĂPTOIU Universitatea de Medicină şi Farmacie “Grigore T. Popa”

DOI:

https://doi.org/10.52692/1857-0011.2022.2-73.17

Keywords:

cystic lesion, pancreas, pediatric traum

Abstract

Pancreatic injuries include a variety of injuries from simple contusion to complete rupture of the duct and pancreatic head. Although pancreatic lesions are rare in children, the pancreatic pseudocyst is the most common posttraumatic cystic lesion of the pancreas and is a localized collection containing pancreatic juice and the peripancreatic necrotic test. The management of the pancreatic pseudocyst has evolved from the stage of exclusive surgical treatment exclusively, to the conservative one, respectively the stage of minimally invasive treatment (percutaneous drainage, endoscopic drainage) and laparoscopic treatment. However, the management remains controversial, the approach depending on the type of lesion, size and evolutionary characteristics. This paper presents the case of a pediatric patient, polytrauma due to a rail accident who is diagnosed 3 weeks after hospitalization with a pseudocyst of the pancreas. We will present both he diagnostic means and the management, both medicinal and surgical, as well as the subsequent evolution of the patient.

Author Biographies

Elena HANGANU, Universitatea de Medicină şi Farmacie “Grigore T. Popa”

Șef Lucrări, Medic primar chirurgie pediatrică

Valentin MUNTEANU, Universitatea de Medicină şi Farmacie “Grigore T. Popa”

Medic primar Secţia de Anestezie şi Terapie Intensivă

Dana MĂNDRĂȘESCU, Clinica de Chirurgie Pediatrică a Spitalului Clinic de Urgenţă pentru Copii “Sfânta Maria”

Medic primar Chirurgie Pediatrică

ALMA LĂPTOIU, Universitatea de Medicină şi Farmacie “Grigore T. Popa”

Doctorand, medic rezident Chirurgie Pediatrică

References

Antonsen, Ingrid, Veronica Berle, and Kjetil Søreide. Blunt pancreatic injury in children. Tidsskrift for Den norske legeforening (2017).

Cigdem, Murat Kemal, et al. Nonoperative management of pancreatic injuries in pediatric patients. Surgery Today 41.5 (2011): 655-659.

Englum, Brian R., et al. Management of blunt pancreatic trauma in children: review of the National Trauma Data Bank. Journal of pediatric surgery 51.9 (2016): 1526-1531.

Ohno, Y., et al. Management of traumatic pancreatic pseudocysts in children. Pediatric surgery international 11.5 (1996): 326-328.

Ratan, Simmi K., et al. Cystogastrostomy: a valid option for treating pancreatic pseudocysts of children in developing countries. Pediatric surgery international 22.6 (2006): 532-535.

Sheikh, Fariha, et al. Image-guided prediction of pseudocyst formation in pediatric pancreatic trauma. journal of surgical research 193.2 (2015): 513-518.

Teh, Swee H., et al. Pancreatic pseudocyst in children: the impact of management strategies on outcome. Journal of pediatric surgery 41.11 (2006): 1889-1893.

Published

2022-11-27

Issue

Section

Research Article