Presenter: Paula Jaimes, MD
Authors: Ivan Molina, MD; Paula Jaimes, MD; Ossiris Gil, MD; Andres Ramirez, MD; Universidad Nacional De Colombia
Introduction: Pancreatic pseudocysts occur as a complication of acute or chronic pancreatitis and are uncommon in children. Symptomatic or persistant pseudocysts may require surgical treatment; laparoscopic and endoscopic modalities have been described, we describe a mixed approach.
Case presentation: We present the case of a 6-year-old boy with pancreatic pseudocyst secondary to pancreatitis after blunt abdominal trauma. The patient presented with abdominal pain, abdominal distension and vomiting. Computed tomography revealed a giant pancreatic pseudocyst. We performed an anterior laparoscopic transgastric approach. A stapled cystogastrostomy was created under laparoscopic and endoscopic vision. Control upper gastrointestinal endoscopy was performed 6 months after without pathological findings.
Discussion: We believe this mixed minimally invasive approach is highly feasible and reproducible in the treatment of pancreatic pseudocysts in children.