Pseudocyst Management Revisited: Failed Surgery Yields Endoscopic Success

Abstract

A 14 yo male presented with severe abdominal pain associated with nausea and vomiting after sustaining blunt abdominal trauma while playing football. Physical examination revealed generalized abdominal tenderness on deep palpation. Serologic tests noted a lipase of 7774IU/L, amylase of 1307IU/L and WBC of 18,000/uL; a computed tomography (CT) scan of the abdomen revealed hemoperitoneum and a pancreatic body laceration.