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Percutaneous retropleural drainage of a posttraumatic pancreatic mediastinal pseudocyst in a child

Zaher Nuwayhid1, Noor Kassira, Holly L Neville

  • 1Division of Pediatric Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL 33136, USA.

Journal of Pediatric Surgery
|March 8, 2011
PubMed

Insights

Mediastinal pseudocysts are rare in children after pancreatitis. Computed tomography-guided percutaneous drainage is an effective treatment for this condition, as shown in a pediatric case.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Radiology

Background:

  • Pancreatic pseudocysts are uncommon complications of pancreatitis in pediatric patients.
  • Mediastinal pseudocysts present unique diagnostic and management challenges in children.

Observation:

  • A 4-year-old child presented with symptoms including abdominal pain, anorexia, vomiting, and dysphagia.
  • The patient was diagnosed with a mediastinal pseudocyst secondary to pancreatic trauma.

Findings:

  • Computed tomography (CT) is crucial for delineating the pseudocyst's extent.
  • Successful treatment was achieved through CT-guided percutaneous drainage using a posterior, extrapleural approach.

Implications:

  • This case highlights the utility of CT-guided percutaneous drainage for pediatric mediastinal pseudocysts.
  • Minimally invasive approaches can be effective in managing rare complications of pancreatitis in children.

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