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Published on: September 5, 2025
Laparoscopic cystojejunostomy as a treatment option for pancreatic pseudocysts in children--a case report
Guido Seitz1, Steven W Warmann, Hans-Joachim Kirschner
1Department of Pediatric Surgery, University Children's Hospital, Tuebingen 72076, Germany. guido.seitz@med.uni-tuebingen.de
Insights
This case study highlights a successful laparoscopic cystojejunostomy for a pediatric pancreatic pseudocyst following blunt abdominal trauma. This minimally invasive approach offers a viable treatment option for large pancreatic pseudocysts in children.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Trauma Surgery
Background:
- Pancreatic pseudocysts are uncommon in children, with various treatment modalities available.
- Blunt abdominal trauma can lead to pancreatic pseudocysts and acute pancreatitis in pediatric patients.
Observation:
- A 5-year-old boy presented with a pancreatic pseudocyst and acute pancreatitis after blunt abdominal trauma.
- Diagnostic imaging revealed two large cysts in the pancreatic tail without pancreatic or bile duct injury.
Findings:
- The child underwent a successful laparoscopic cystojejunostomy procedure.
- The patient remained asymptomatic for over two years post-procedure, indicating a favorable long-term outcome.
Implications:
- Laparoscopic cystojejunostomy is a potentially effective treatment for large pancreatic pseudocysts in children.
- This minimally invasive technique may offer an alternative to traditional surgical interventions for pediatric pancreatic pseudocysts.
Abstract:
Pancreatic pseudocysts are a rare entity in children for which many approaches have been described. We report on the case of a 5-year-old boy with a pancreatic pseudocyst after blunt abdominal trauma. The patient's clinical and laboratory examination findings had also revealed an acute pancreatitis. His diagnostic workup included ultrasound examination and magnetic resonance cholangiopancreatography. Two large cysts were found at the tail of the pancreas. No injury of the pancreatic or bile duct was found. The child underwent successful laparoscopic cystojejunostomy. The patient was free of complaints after more than 2 years of follow-up. Laparoscopic cystojejunostomy in children with pancreatic pseudocysts may represent an alternative treatment option for large pancreatic pseudocysts.
