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Trivial injury with devastating complication-A case of pediatric pancreatic pseudocyst
Iqra Rehman Shaikh1, Zainab Syyeda Rahmat1, Zarmina Islam1
1Department of Pediatrics Dow University of Health Sciences, Dr. RKMP Civil Hospital Karachi Karachi Pakistan.
Insights
Pediatric pancreatic pseudocysts, often caused by trauma, require prompt multidisciplinary management. This case highlights surgical intervention for a massive pseudocyst to prevent rupture and ensure a favorable outcome.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Case Reports
Background:
- Pancreatic pseudocysts are uncommon in children, frequently stemming from abdominal trauma.
- Large pancreatic pseudocysts (>10 cm) carry a significant risk of rupture, necessitating intervention.
- Effective management hinges on a multidisciplinary approach to mitigate morbidity and mortality.
Key Clinical Message:
Pancreatic pseudocysts are rare in the pediatric population, commonly a result of trauma. Timely diagnosis and adequate management with a multidisciplinary approach are the key to avoid morbidity and mortality. Larger cysts often require surgical intervention.
Abstract:
We report a case of a 4-year-old female child who presented with a massive pancreatic pseudocyst. Pseudocysts >10 cm are at an increased risk of rupture, hence require surgical intervention. Percutaneous external drainage via pigtail catheter was followed by cysto-gastrostomy due to continuous high output. The postoperative period was uneventful.
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