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Pancreatic pseudocyst in a child due to blunt andominal trauma during a football game

A Giakoustidis1, N Antoniadis, I Giorgakis

  • 1Division of Transplantation, Department of Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Hippokratia
|August 10, 2013
PubMed

Insights

Pancreatic pseudocysts are rare in children after abdominal trauma. This case highlights conservative management followed by cystogastrostomy for a large pseudocyst in a teen athlete.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Trauma Surgery

Background:

  • Pancreatic pseudocysts are uncommon complications of abdominal trauma in pediatric patients.
  • Blunt abdominal trauma, such as from sports injuries, can lead to acute pancreatitis and subsequent pseudocyst formation.

Purpose of the Study:

  • To report a rare case of pancreatic pseudocyst in a child secondary to blunt abdominal trauma.
  • To describe the management and outcome of a pediatric patient with post-traumatic pancreatic pseudocyst.

Main Methods:

  • A 14-year-old boy with acute pancreatitis due to blunt abdominal trauma was managed conservatively for 4 weeks.
  • The patient was monitored for an additional 2 weeks, totaling 6 weeks post-injury.
  • An open cystogastrostomy was performed for the large pseudocyst.

Main Results:

  • The conservative management of acute pancreatitis was successful in the initial phase.
  • The open cystogastrostomy procedure was performed due to persistent large pseudocyst formation.
  • The patient experienced an uneventful postoperative recovery and was discharged on the sixth postoperative day.

Conclusions:

  • Pancreatic pseudocysts following abdominal trauma in children, though rare, require careful management.
  • Conservative treatment followed by surgical intervention like cystogastrostomy can be effective in managing pediatric post-traumatic pancreatic pseudocysts.

Keywords:
childcystgastrostomypancreaticpseudocyst

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