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Congenital pancreatic pseudocyst: report of two cases
M O Kurrer1, J L Ternberg, J C Langer
1Department of Surgery, Washington University School of Medicine, St Louis, MO, USA.
Insights
Pancreatic pseudocysts, rare in newborns, were successfully diagnosed prenatally and treated surgically. These cases highlight the possibility of fetal pancreatic pseudocysts and effective neonatal management.
Area of Science:
- Neonatal Medicine
- Pediatric Surgery
- Gastroenterology
Background:
- Pancreatic pseudocysts are uncommon in neonates.
- Prenatal diagnosis of pancreatic pseudocysts has not been previously documented.
Observation:
- Two neonates presented with histologically confirmed pancreatic pseudocysts.
- Prenatal ultrasonography detected the pseudocysts before birth.
Findings:
- Surgical interventions included external marsupialization with internal drainage and complete excision.
- Both neonate patients achieved favorable outcomes following surgical management.
Implications:
- This study establishes the occurrence of fetal and neonatal pancreatic pseudocysts.
- Further research is needed to elucidate the unclear etiology of these congenital lesions.
Abstract:
Pancreatic pseudocysts have not been reported to occur in the fetus or newborn. The authors report two cases of histologically proven pancreatic pseudocysts in neonates, which were detected using prenatal ultrasonography. Surgical management included external marsupialization followed by internal drainage in one case, and excision in the other. Both patients ultimately did well. The etiology of these lesions remains unclear.
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