A Case of Traumatic Pancreatic Pseudocyst Successfully Treated With External Drainage in Children

  • Tazuke Yuko
    Department of Surgery The Social Insurance Kinan General Hospital
  • Ishikawa Shirou
    Department of Pediatric Surgery, The Social Insurance Kinan General Hospital
  • Morimoto Yoshikazu
    Department of Surgery The Social Insurance Kinan General Hospital
  • Mizutani Shin
    Department of Surgery The Social Insurance Kinan General Hospital
  • Sakurai Teruhisa
    Department of Surgery The Social Insurance Kinan General Hospital
  • Ueda Shinya
    Department of Surgery The Social Insurance Kinan General Hospital
  • Sumimura Junichi
    Department of Surgery The Social Insurance Kinan General Hospital
  • Nagai Mamoru
    Department of Surgery The Social Insurance Kinan General Hospital

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Other Title
  • 経皮的ドレナージが有効であった小児外傷性仮性膵嚢胞の 1 例

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Traumatic pancreatic pseudocyst associated with pancreatic ductual injury usually requires open surgery. A case of a patient with traumatic pancreatic pseudocyst, who was successfully treated with external drainage, is reported. A 12-year-old girl was referred to our hospital for a blunt abdominal injury due to a bicycle accident. On the 3rd day, she was treated with laparoscopic external drainage by laparoscopy because of abdominal pain with an increased serum level of amylase. After post-drainage day 5, upper gastrointestinal study and abdominal computed tomography showed a giant well-defined cyst in the pancreatic tail adjacent to the posterior wall of the stomach. We performed transcutaneous external drainage of the pancreatic pseudocyst with a PTCD tube under echography. Though a fistulogram showed fistulization between the main pancreatic duct and the pseudocyst, and disruption of the pancreatic duct, she was relieved without internal drainage or open surgery. In children, external drainage of the pseudocyst is thought to be a useful and appropriate intervention therapy before internal drainage or surgical intervention.

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