Laparoscopic Transgastric Sutured Cystogastrostomy for Post-traumatic Pancreatic Pseudocyst in a Low Resource...

Area of Science:

• Gastroenterology
• Surgical Innovation
• Trauma Surgery

Background:

• Pancreatic pseudocysts (PPCs) are common sequelae of acute pancreatitis in adults, but rare following trauma.
• Post-traumatic PPCs are more frequently associated with blunt abdominal trauma than penetrating injuries.
• Penetrating abdominal gunshot wounds leading to PPC are exceptionally uncommon.

Observation:

• A 24-year-old male presented with a large pancreatic pseudocyst 8 months after sustaining a penetrating thoraco-abdominal gunshot wound.
• The patient had a history of laparotomy for the initial injury.
• This represents a rare instance of PPC following penetrating abdominal trauma.

Findings:

• The patient underwent a laparoscopic cystogastrostomy for management of the large post-traumatic PPC.
• Laparoscopic drainage is an emerging, minimally invasive approach for pancreatic pseudocysts.
• Successful management was achieved with minimal access surgery.

Implications:

• Laparoscopic cystogastrostomy can be a viable and effective treatment for large post-traumatic pancreatic pseudocysts.
• This case expands the understanding of PPC etiology following penetrating trauma.
• Minimally invasive surgery offers significant benefits for patients with complex post-traumatic complications.