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Endoscopic cystogastrostomy: minimally invasive approach for pancreatic pseudocyst
Gull-Zareen Khan Sial1, Abid Quddus Qazi2, Mohammed Aasim Yusuf3
1Department of Paediatric Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore.
Insights
Pancreatic pseudocysts can occur in children, sometimes requiring intervention. This case highlights successful minimally invasive endoscopic treatment for a large pseudocyst in a young patient treated for leukemia.
Area of Science:
- Pediatric Gastroenterology
- Surgical Oncology
Background:
- Pancreatic pseudocysts are a known complication in children.
- Non-resolving pseudocysts often necessitate surgical intervention.
- Endoscopic cystogastrostomy is a recommended minimally invasive approach.
Observation:
- A large pancreatic pseudocyst developed in a 4-year-old child.
- The pseudocyst emerged after treatment with PEG-Asparaginase for acute lymphoblastic leukemia.
Findings:
- The large pancreatic pseudocyst was successfully managed using a minimally invasive endoscopic procedure.
- This approach avoided open surgery for the pediatric patient.
Implications:
- Minimally invasive endoscopic cystogastrostomy is a viable and effective treatment for large pancreatic pseudocysts in children.
- This case underscores the importance of considering pseudocyst formation as a complication of leukemia therapy.
Abstract:
Pancreatic pseudocysts in children are not uncommon. Non-resolving pseudocysts often require surgical intervention. Endoscopic cystogastrostomy is a minimally invasive procedure which is recommended for this condition. We report a large pancreatic pseudocyst in a 4-year old child, which developed following therapy with PEG-Asparaginase for acute lymphoblastic leukemia. It was managed with minimally invasive procedure.
