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Post-traumatic pancreatic pseudocyst: non-operative conservative management--report on 3 cases
F Becmeur1, R Dhaoui, P Rousseau
1Service de Chirurgie Infantile, Hôpital de Hautepierre, Strasbourg, France.
Insights
Conservative treatment, including total parenteral nutrition, successfully healed post-traumatic pancreatic pseudocysts in three pediatric patients. This approach offers a non-operative alternative for managing these challenging injuries.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Trauma Management
Background:
- Pancreatic pseudocysts can arise after abdominal trauma in children.
- Traditional management often involves invasive surgical procedures.
Observation:
- Three pediatric cases of post-traumatic pancreatic pseudocysts were treated.
- Treatment involved conservative measures and total parenteral nutrition.
Findings:
- Complete healing was achieved in all three patients.
- Conservative management with total parenteral nutrition demonstrated efficacy.
- Specific criteria for patient selection and monitoring were employed.
Implications:
- Non-operative conservative treatment is a viable alternative to surgery for pediatric pancreatic pseudocysts.
- This approach may reduce the need for exploratory laparotomy and drainage.
- Further research can validate this conservative strategy in a larger cohort.
Abstract:
The authors report on 3 cases of post-traumatic pancreatic pseudocysts in children. Complete healing occurred with non-operative conservative treatment and total parenteral nutrition. Daily follow-up with clinical evaluation, abdominal ultrasound and lab exams are detailed under definite criteria of selection and follow-up. This mode of treatment might be considered as an alternative to exploratory laparotomy and external drainage.