We report a case of a four-year-old female child who presented with a massive pancreatic pseudocyst. Pseudocysts >10 cm are at an increased risk of rupture, hence require surgical intervention. Percutaneous external drainage via pig tail catheter was followed by Cysto-gastrostomy due to continuous high output. Post-operative period was uneventful.

We report a case of a four-year-old female child who presented with a massive pancreatic pseudocyst. Pseudocysts >10 cm are at an increased risk of rupture, hence require surgical intervention. Percutaneous external drainage via pig tail catheter was followed by Cysto-gastrostomy due to continuous high output. Post-operative period was uneventful.

Pancreatic pseudocysts are rare in the pediatric population, commonly a result of trauma. Timely diagnosis and adequate management with a multidisciplinary approach are the key to avoid morbidity and mortality. Larger cysts often require surgical intervention.