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Gray-scale echography of traumatic pancreatic cysts in children
Pediatric Radiology
|January 1, 1981
Insights
Two children developed pancreatic pseudocysts after abdominal trauma. Ultrasound (echography) is effective for diagnosis and monitoring, with one case resolving spontaneously without surgery.
Area of Science:
- Pediatric Surgery
- Diagnostic Imaging
- Gastroenterology
Background:
- Pancreatic pseudocysts are a known complication of abdominal trauma.
- Blunt abdominal trauma can lead to pancreatic duct injury and subsequent pseudocyst formation.
Observation:
- Two pediatric cases of pancreatic pseudocysts following blunt abdominal trauma are presented.
- Gray-scale echography (ultrasound) was utilized for diagnosis and disease monitoring.
Findings:
- Gray-scale echography demonstrated itself as a safe and accurate diagnostic tool.
- One patient experienced spontaneous resolution of the pancreatic pseudocyst, indicating non-surgical management is possible.
Implications:
- Not all pediatric pancreatic pseudocysts necessitate surgical intervention.
- Careful clinical, laboratory, and echocardiographic monitoring can guide appropriate management strategies, potentially avoiding surgery.
Abstract:
We report two cases of pancreatic pseudocysts in children developing after blunt trauma to the abdomen. Gray-scale echography provides a safe and exact method in establishing the diagnosis and in the follow-up of the disease. In one case the pancreatic pseudocyst resolved spontaneously justifying our opinion that not all pseudocysts require surgical intervention provided the appropriate clinical, laboratory and echocardiographic controls are available.