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Pseudocysts of the pancreas in children: an African series

O A Mabogunje1

  • 1Department of Surgery, Ahmadu Bello University Hospital, Zaria, Nigeria.

Annals of Tropical Paediatrics
|December 1, 1988
PubMed

Insights

This study reports on ten pediatric pancreatic pseudocyst surgeries in Zaria. Management involved internal drainage or resection, highlighting challenges in diagnosing pancreatic pseudocysts in Africa.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Tropical Medicine

Background:

  • Pancreatic pseudocysts are fluid collections that can occur after pancreatitis or trauma.
  • Diagnosis and management can be challenging, especially in resource-limited settings.
  • Juvenile tropical pancreatitis syndrome (JTPS) is a potential cause of chronic pancreatitis in children in tropical regions.

Purpose of the Study:

  • To describe the surgical management of pancreatic pseudocysts in children in Zaria, Nigeria.
  • To explore potential causes, including trauma and JTPS.
  • To highlight challenges in diagnosis and reporting in Africa.

Main Methods:

  • Retrospective review of ten pediatric patients who underwent surgery for pancreatic pseudocysts.
  • Surgical interventions included internal drainage and resection.
  • Clinical data and outcomes were analyzed.

Main Results:

  • Ten children aged 15 months to 16 years were operated on for pancreatic pseudocysts.
  • Four pseudocysts were traumatic; others had obscure origins, possibly JTPS.
  • Eight patients underwent internal drainage, one had resection, and one had external drainage.

Conclusions:

  • Surgical intervention is feasible for pediatric pancreatic pseudocysts in Zaria.
  • The etiology of pseudocysts in this cohort included trauma and possible JTPS.
  • Under-reporting of pancreatic pseudocysts in Africa may be due to limited imaging facilities.

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