Operative Treatment of a Congenital Pancreatic Pseudocyst: A Case Report

Abstract

Congenital pancreatic pseudocysts are very rare and have so far been described in only 4 cases. We report on a patient with a congenital pancreatic pseudocyst diagnosed only intraoperatively. We show with this case that diagnosis is difficult. Furthermore, we show the histology and operation method.

Late Presentation of Pancreatic Pseudocyst in a Child

“…Thus, biliopancreatic magnetic resonance imaging could be useful to unmask the communication of the pseudocyst with the pancreatic ducts and to discern necrotic debris or hematic components in the pseudocyst ( 5 , 9 ). The differential diagnosis can however be discussed between a mesenteric cyst or a digestive duplication in this localization in these pediatric populations ( 2 ) but the clinical context with the history of abdominal trauma as well as the pancreatic relations of the mass associated, in our case, with the dilation of the main pancreatic duct allow to evoke the diagnosis before the anatomopathological confirmation. The therapeutic management depends above all on the symptomatology and the size of the pancreatic pseudocysts.…”

“…Pancreatic pseudocysts are rare benign conditions ( 1 , 2 ). It is a liquid collection made of pancreatic juice, of possible necrotic or hemorrhagic debris surrounded by fibrous tissue devoid of the epithelium ( 3 ) which can be localized in intra- or extra-pancreatic.…”

“…It is a liquid collection made of pancreatic juice, of possible necrotic or hemorrhagic debris surrounded by fibrous tissue devoid of the epithelium ( 3 ) which can be localized in intra- or extra-pancreatic. If the pancreatic pseudocysts can be of exceptional congenital origin ( 2 ), the frequent etiologies are dominated by acute pancreatitis and pancreatic trauma ( 4 , 5 ). There is a male tendency for theses damages in the small series of cases reported.…”