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Pancreatic pseudocyst: successful treatment by percutaneous external catheter drainage
S H Korman1, P Lebensart, O Martin
1Department of Pediatrics, Hadassah University Hospital, Jerusalem, Israel.
Insights
A pediatric pancreatic pseudocyst resolved with minimally invasive percutaneous catheter drainage. This nonoperative approach offers an effective alternative to surgery for children with pancreatic pseudocysts.
Area of Science:
- Pediatric Gastroenterology
- Interventional Radiology
Background:
- Pancreatic pseudocysts are a known complication in children.
- Persistent pseudocysts can lead to complications and prolonged hospital stays.
Observation:
- A 6-year-old female presented with a persistent pancreatic pseudocyst for 2 months.
- Initial conservative management including bowel rest and nutritional support was unsuccessful.
- The pseudocyst remained refractory to standard non-surgical treatments.
Findings:
- Ultrasound-guided percutaneous catheterization of the pseudocyst was performed.
- External catheter drainage was maintained for 11 days.
- Complete and permanent resolution of the pancreatic pseudocyst was achieved.
Implications:
- Percutaneous catheter drainage is a viable, nonoperative treatment for pediatric pancreatic pseudocysts.
- This minimally invasive technique may obviate the need for surgical intervention in children.
- Ultrasound guidance enhances the safety and efficacy of pseudocyst drainage procedures.
Abstract:
A pseudocyst of the pancreas in a 6-year-old girl persisted for 2 months despite bowel rest and nutritional support. Following percutaneous introduction of a catheter into the cyst under ultrasound guidance and external catheter drainage for 11 days, the pseudocyst resolved completely and permanently. Nonoperative percutaneous techniques for drainage of pancreatic pseudocysts in children may be an effective alternative to surgical intervention.