Post-traumatic pancreatic pseudocyst managed by Roux-en-Y drainage

Area of Science:

• Gastroenterology and Surgical Management

Background:

• Pancreatic pseudocysts are fluid collections post-acute pancreatitis, often resolving spontaneously.
• Clinically significant pseudocysts, around 5%, may necessitate intervention, typically surgical drainage.
• Malignancy is a consideration, potentially leading to pancreatic resection.

Observation:

• A persistent post-traumatic pancreatic pseudocyst demonstrated an 8-year duration.
• Recurrent percutaneous aspiration failed to resolve the pseudocyst.
• The pseudocyst was ultimately managed through Roux-en-Y drainage.

Findings:

• Roux-en-Y drainage proved effective for a long-standing, treatment-resistant pancreatic pseudocyst.
• This surgical technique offered a definitive solution where less invasive methods failed.

Implications:

• Roux-en-Y drainage is a viable option for complex and chronic pancreatic pseudocysts.
• Effective management of persistent pseudocysts can improve patient outcomes and reduce morbidity.