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Congenital cysts of the head of the pancreas
Insights
This report details a rare congenital pancreatic head cyst in an infant. Accurate preoperative diagnosis using angiography led to successful cyst removal via cystoduodenostomy.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Diagnostic Imaging
Background:
- Congenital pancreatic head cysts are exceptionally rare in infants.
- Accurate preoperative diagnosis is crucial for appropriate surgical planning.
Observation:
- A case of a huge multilocular congenital cyst in an infant's pancreatic head is presented.
- The infant's symptoms, diagnostic process, and surgical management are discussed.
- A review of limited English literature on similar cases was conducted.
Findings:
- Selective celiac arteriography aids in differentiating cystic lesions of the pancreatic head.
- This is believed to be the first reported case accurately diagnosed preoperatively using selective celiac and gastroduodenal angiography.
- Cystoduodenostomy was found to be a straightforward and effective surgical intervention.
Implications:
- Angiographic techniques are vital for precise preoperative diagnosis of pancreatic cysts.
- The findings support cystoduodenostomy as a viable surgical option for congenital pancreatic head cysts.
- This case contributes to the limited understanding of rare pediatric pancreatic cystic diseases.
Abstract:
A very rare case of an infant with a huge multilocular congenital cyst of the head of the pancreas is presented. The symptomatology, diagnosis and surgical approach are discussed, while reviewing the few scattered reports in the English literature. Selective celiac arteriography is considered to be of definite aid in the differential diagnosis of cystic lesions of the head of the pancreas and has important implications on the choice of surgical procedure. We believe this to be the first case of a congenital cyst of the head of pancreas to be diagnosed accurately preoperatively by means of selective celiac and gastroduodenal angiography. Cystoduodenostomy proved to be a simple and effective procedure.