Internal drainage of pancreatic pseudocyst following abdominal blunt trauma

Purpose: Pancreatic pseudocyst is a well-recognized complication of acute pancreatitis, chronic pancreatitis and pancreatic trauma. Pancreatic trauma is the most common cause among children cases. The aim of this study is to describe the clinical presentation and management of symptomatic pancreatic...

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Main Authors: Siti Fatimah, Emiliana Lia
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Journal of Pediatric Surgery Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576622001117
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author Siti Fatimah
Emiliana Lia
author_facet Siti Fatimah
Emiliana Lia
author_sort Siti Fatimah
collection DOAJ
description Purpose: Pancreatic pseudocyst is a well-recognized complication of acute pancreatitis, chronic pancreatitis and pancreatic trauma. Pancreatic trauma is the most common cause among children cases. The aim of this study is to describe the clinical presentation and management of symptomatic pancreatic pseudocyst in a series of 2 children following abdominal blunt trauma treated in our institution between January 2021 to August 2021. Method: This was single-centre case series from our institution that is a tertiary referral hospital from January to August 2021. There were two patients between age 8–11 that diagnosed with pancreatic pseudocyst after blunt abdominal trauma, both of them underwent open internal drainage, specifically cystojejunostomy. Result: All of 2 patients had a history of blunt abdominal trauma due to bicycle handlebar injury. Epigastric pain and abdominal mass were the main complaints. Amylase and lipase serum level were elevated and imaging diagnostic reveal pancreatic pseudocyst. Open cystojejunostomy were performed and the patient discharged from the hospital on day 7 and day 11 post operative, respectively, without any complication. Conclusion: Pancreatic pseudocyst although rare in children, can lead to a significant morbidity if not properly diagnosed and treated. Open internal drainage is still the procedure of choice in our institution.
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spelling doaj.art-136a9791ae9546fd8514d0ce0f5d72f22022-12-22T00:22:06ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662022-06-0181102284Internal drainage of pancreatic pseudocyst following abdominal blunt traumaSiti Fatimah0Emiliana Lia1Corresponding author.; Pediatric Surgery Division, Department of Surgery, Faculty of Medicine Padjadjaran University, Dr Hasan Sadikin General Hospital, Bandung, IndonesiaCorresponding author.; Pediatric Surgery Division, Department of Surgery, Faculty of Medicine Padjadjaran University, Dr Hasan Sadikin General Hospital, Bandung, IndonesiaPurpose: Pancreatic pseudocyst is a well-recognized complication of acute pancreatitis, chronic pancreatitis and pancreatic trauma. Pancreatic trauma is the most common cause among children cases. The aim of this study is to describe the clinical presentation and management of symptomatic pancreatic pseudocyst in a series of 2 children following abdominal blunt trauma treated in our institution between January 2021 to August 2021. Method: This was single-centre case series from our institution that is a tertiary referral hospital from January to August 2021. There were two patients between age 8–11 that diagnosed with pancreatic pseudocyst after blunt abdominal trauma, both of them underwent open internal drainage, specifically cystojejunostomy. Result: All of 2 patients had a history of blunt abdominal trauma due to bicycle handlebar injury. Epigastric pain and abdominal mass were the main complaints. Amylase and lipase serum level were elevated and imaging diagnostic reveal pancreatic pseudocyst. Open cystojejunostomy were performed and the patient discharged from the hospital on day 7 and day 11 post operative, respectively, without any complication. Conclusion: Pancreatic pseudocyst although rare in children, can lead to a significant morbidity if not properly diagnosed and treated. Open internal drainage is still the procedure of choice in our institution.http://www.sciencedirect.com/science/article/pii/S2213576622001117Pancreatic pseudocystPancreatic traumaOpen internal drainageCystojejunostomy
spellingShingle Siti Fatimah
Emiliana Lia
Internal drainage of pancreatic pseudocyst following abdominal blunt trauma
Journal of Pediatric Surgery Case Reports
Pancreatic pseudocyst
Pancreatic trauma
Open internal drainage
Cystojejunostomy
title Internal drainage of pancreatic pseudocyst following abdominal blunt trauma
title_full Internal drainage of pancreatic pseudocyst following abdominal blunt trauma
title_fullStr Internal drainage of pancreatic pseudocyst following abdominal blunt trauma
title_full_unstemmed Internal drainage of pancreatic pseudocyst following abdominal blunt trauma
title_short Internal drainage of pancreatic pseudocyst following abdominal blunt trauma
title_sort internal drainage of pancreatic pseudocyst following abdominal blunt trauma
topic Pancreatic pseudocyst
Pancreatic trauma
Open internal drainage
Cystojejunostomy
url http://www.sciencedirect.com/science/article/pii/S2213576622001117
work_keys_str_mv AT sitifatimah internaldrainageofpancreaticpseudocystfollowingabdominalblunttrauma
AT emilianalia internaldrainageofpancreaticpseudocystfollowingabdominalblunttrauma