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Published on: December 13, 2019
[Pancreatic pseudocyst in children: about 7 cases]
Hind Cherrabi1, Hind Aboueljaoud1, Abdoulaye Diallo Harouna1
1Service de Chirurgie Pédiatrique, Hôpital Mère Enfant, CHU Hassan II, Faculté de Médecine et de Pharmacie de Fès, Université Sidi Mohammed Ben Abdellah, Fès, Maroc.
Insights
Pediatric pancreatic pseudocysts, rare collections of pancreatic juice, often follow abdominal trauma. Surgical intervention, including internal or external bypass, is frequently required for treatment.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Radiology
Background:
- Pancreatic pseudocysts are uncommon benign conditions, particularly in children, characterized by pancreatic juice collections without epithelial lining.
- They represent the most frequent type of pancreatic cystic lesions, often resulting from pancreatitis, trauma, or ductal obstruction.
Purpose of the Study:
- To review the clinical characteristics, diagnosis, and management of pancreatic pseudocysts in a pediatric cohort.
- To highlight the diagnostic role of imaging modalities in pediatric pancreatic pseudocysts.
Main Methods:
- A retrospective study of 7 pediatric patients diagnosed with pancreatic pseudocysts between January 2005 and December 2016.
- Data collection included medical records focusing on clinical presentation, diagnostic imaging (ultrasound, CT scan), and surgical interventions.
Main Results:
- All 7 patients were male, with an average age of 6.6 years.
- Abdominal trauma was noted in 4 cases; common symptoms included abdominal pain, vomiting, and altered transit.
- Imaging confirmed the diagnosis, and 6 patients underwent surgery, with 4 receiving internal bypass (gastro-cystic anastomosis) and 2 external bypass.
Conclusions:
- Pancreatic pseudocysts are rare in children but represent the majority of pancreatic cystic lesions.
- Prompt diagnosis via imaging is crucial for effective management, which may involve surgical intervention.
Abstract:
Pancreatic pseudocyst is a rare benign condition, in particular among children. It is an intra or extra pancreatic juice collection lacking of an epithelial lining. We conducted a retrospective study of 7 children whose medical record data were collected in the Department of Paediatric Surgery at the University Hospital Hassan II in Fez, over a period of 11 years, from 1 January 2005 to 31 December 2016. All children were male, their average age was 6.6 years (15 months - 12 years). An history of abdominal trauma was found in 4 cases, abdominal bloating, pain, vomiting and transit disorders were the primary reason for consultation. Clinical examination showed epigastric tenderness and an alteration of the general state in all cases. Abdominal ultrasound as well as abdominal CT scan helped to diagnose pancreatic pseudocyst before surgery. Six patients, out of a total of seven, underwent surgery; we opted for internal bypass (gastro-cystic anastomosis) in 4 cases, external bypass in 2 cases and therapeutic abstention in one case. Pancreatic pseudocysts are rare. Nevertheless, they are the most frequent (80% of pancreatic cystic lesions are pseudocysts and due to acute and/or chronic pancreatitis, pancreatic trauma or pancreatic ductal obstruction).
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