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Giant pseudocyst of the pancreas: A report of three cases
P O Igwe1, E Ray-Offor1, E N Karibi2
1Colorectal and Minimal Access, General Surgery Unit, Department of Surgery, University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt, Rivers State, Nigeria.
Insights
Giant pancreatic pseudocysts, though rare, can be effectively managed. This study reports successful treatment of three cases using cysto-gastrostomy, suggesting they may be more common than previously believed.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pediatric Surgery
Background:
- Pancreatic pseudocysts are a known complication of pancreatitis or abdominal trauma.
- Giant pseudocysts, defined as >10 cm, are particularly rare, often associated with chronic pancreatitis.
Purpose of the Study:
- To present three cases of giant pancreatic pseudocysts managed within a three-month period.
- To highlight the potential underestimation of giant pseudocyst prevalence.
Main Methods:
- Case series involving three patients (two adult females, one pediatric male) presenting with giant pancreatic pseudocysts.
- All patients underwent exploratory laparotomy and cysto-gastrostomy.
Main Results:
- Successful management of all three giant pancreatic pseudocyst cases.
- Patients experienced good outcomes following cysto-gastrostomy.
Conclusions:
- Giant pancreatic pseudocysts may occur more frequently than previously recognized.
- Cysto-gastrostomy is an effective surgical intervention for managing giant pancreatic pseudocysts.
Background:
A Pancreatic pseudocyst is usually a complication of pancreatitis but may follow abdominal trauma in children. Giant pseudocysts are rare and usually complicate chronic pancreatitis.
Aim:
To report 3 cases of giant pseudocysts of the pancreas managed in our Centre within a three-month-period.
Case Reports:
Two female patients aged 22 years and 65 years respectively, and an 11-year-old boy presented with giant pancreatic pseudocysts (>10 cm in diameter each) to our unit and were successfully managed. They all underwent exploratory laparotomy and cysto-gastrostomy with good outcome.
Conclusion:
Giant pseudocysts of pancreas may not be as rare as they were thought to be. They can be effectively managed by cysto-gastrostomy.
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