Ann Pediatr Res | Volume 2, Issue 1 | Case Report | Open Access

Paradigm in the Management of Recurrent Pancreatic Pseudocyst in Infant: A Case Report and Literature Review

Pierre Jean Aurelus^1*, Rafael Roberto Zapata Carrion¹, Edwin Allen Mejia Solis², Lizbet De La Cruz Rodriguez¹ and Hermilo De La Cruz Yanez¹

¹Department of Gastro-transplantation, Pediatric Hospital National Medical Center Siglo XXI (Mexican Institute of Social Security "IMSS"), México
²Department of General Surgery, University Hospital of BUAP (Benemérita Universidad Autonoma de Puebla), México

^*Correspondance to: Pierre Jean Aurelus 

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Abstract

Introduction: The most common causes of pancreatic pseudocysts are gallstones and binge alcohol consumption in adult. This disorder of the pancreas is however exceedingly uncommon in children. The purpose of this case was to evaluate the outcome of pediatric patient after unsuccessful conventional drainage techniques: endoscopic, pseudocystojejunostomy and multiples percutaneous drainage with a recurrent pancreatic pseudocyst. Cases: A 15-year-old young female patient with chronic abdominal pain, postprandial distension and weight loss was referred at our department for treatment. Her physical examination revealed epigastric pain and abdominal mass in the left abdominal region. We performed open cysto gastrostomy under general anesthesia. The duration of the procedure was 185 minutes and none complications of the procedure were observed.
Conclusion: The paradigm in this case is when the pseudocyst is localized in both head and tail of the pancreas and it is recurrent; the correct decision is to perform an open cysto gastrostomy.

Keywords:

Pancreatitis- Pediatric

Citation:

Aurelus PJ, Carrion RRZ, Solis EAM, De La Cruz Rodriguez L, De La Cruz Yanez H. Paradigm in the Management of Recurrent Pancreatic Pseudocyst in Infant: A Case Report and Literature Review. Ann Pediatr Res. 2018; 2(1): 1006.