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[Pancreatic pseudocysts in childhood]

J L Alonso Calderón1, V Rollán Villamarín, A Rodríguez Mínguez

  • 1Servicio de Cirugía Pediátrica, Hospital Niño Jesús, Madrid.

Anales Espanoles De Pediatria
|March 1, 1996
PubMed
Summary

Infant pancreatic pseudocysts, often linked to blunt abdominal injuries, present with varied symptoms. Surgical intervention is necessary, with cystogastrostomy potentially offering shorter hospital stays than marsupialization.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Abdominal Imaging

Background:

  • Pancreatic pseudocysts are rare in infants but increasingly diagnosed due to improved imaging.
  • Blunt abdominal trauma is a significant contributing factor in pediatric cases.
  • Clinical presentation can be non-specific, leading to delayed diagnosis.

Purpose of the Study:

  • To report on four infant cases of pancreatic pseudocysts.
  • To analyze diagnostic and therapeutic variations over time.
  • To highlight the association with blunt abdominal trauma.

Main Methods:

  • Retrospective case series analysis.
  • Review of diagnostic imaging (ultrasound, CT).
  • Surgical intervention: marsupialization and cystogastrostomy.

Main Results:

  • Four infant cases of pancreatic pseudocysts were identified.
  • Two patients had a history of blunt abdominal trauma.
  • All patients required surgery; cystogastrostomy resulted in shorter hospital stays compared to marsupialization.

Conclusions:

  • Pancreatic pseudocysts in infants, though uncommon, require prompt surgical management.
  • Surgical approach influences recovery time, with internal drainage potentially being more efficient.
  • Early diagnosis and management are crucial for favorable outcomes in pediatric pancreatic pseudocysts.

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