Pancreatic Pseudocysts with Delayed Hemorrhagic Shock in a Girl and Review of Literatures

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  • Satoh Yasunobu
    The Department of Pediatric Surgery, National Kanagawa Children's Hospital
  • Matsumura Nagao
    The Department of Pediatric Surgery, National Kanagawa Children's Hospital
  • Ohshio Takeo
    The Department of Pediatric Surgery, National Kanagawa Children's Hospital
  • Kirino Arinari
    The Department of Pediatric Surgery, National Kanagawa Children's Hospital
  • Kawachi Mamoru
    The Department of Pediatric Surgery, National Kanagawa Children's Hospital
  • Saitoh Tsuneo
    The Department of Pediatric Surgery, National Kanagawa Children's Hospital

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  • 急性出血をきたした小児膵仮性嚢腫の 1 例
  • キュウセイ シュッケツ オ キタシタ ショウニ スイ カセイ ノウシュ ノ 1

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A 9 years old girl with pancreatic pseudocyst was reported. 27 days after initial trauma, the patient developed a sudden severe abdominal pain and shock duo to the intracystic hemorrhage. After ligation of the bleeding artery, cystjejunostomy with Roux-en-Y anastomosis was done without any complications. 17 cases of hemorrhagic pancreatic pseudocyst have been reported in Japan including this case. The patient was the youngest case in the literature. 66 cases of pancreatic pseudocyst in children were collected from Japanese literature and were reviewed. Trauma is the most common cause of pancreatic pseudocyst in children, though alcoholic pancreatitis is the most common cause in adults. Although the most serious complication was the hemorrhage in the cyst, this case was successfully treated surgically.

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