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Obstructive jaundice due to pancreatic pseudocyst in a pediatric patient

Anjan Kumar Dhua1, Badamutlang Dympep2, Amita Sen2

  • 1Department of Pediatric Surgery, PGIMER & DR Ram Manohar Lohia Hospital, New Delhi, India anjandhua@hotmail.com.

Journal of Surgical Case Reports
|June 27, 2014
PubMed

Insights

Pancreatic pseudocysts rarely cause obstructive jaundice in children. This case highlights successful internal drainage and the importance of intra-operative cholangiography in guiding surgical decisions for pediatric obstructive jaundice.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Management

Background:

  • Obstructive jaundice in pediatric patients is uncommon.
  • Pancreatic pseudocysts are a rare cause of obstructive jaundice in children.
  • Management strategies for pediatric obstructive jaundice require careful consideration.

Observation:

  • A rare case of obstructive jaundice caused solely by a pancreatic pseudocyst in a pediatric patient was observed.
  • The clinical presentation necessitated a surgical intervention.

Findings:

  • Successful management was achieved through internal drainage of the pancreatic pseudocyst.
  • Intra-operative cholangiography played a crucial role in surgical decision-making.
  • The findings suggest that a simple drainage procedure may be sufficient, avoiding more complex surgeries like hepatico-jejunostomy.

Implications:

  • This case provides valuable insights into the management of rare pediatric surgical conditions.
  • Highlights the utility of intra-operative cholangiography in pediatric obstructive jaundice.
  • Suggests a tailored surgical approach based on intra-operative findings for pancreatic pseudocyst-induced jaundice.

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