2008, Number 4
Surgical Treatment for pancreatic pseudocyst in pediatric age. Current Experience in a paediatric hospital of third level
Santos-Jasso KA, Asz-Sigal J, Medina-Vega A
Language: Spanish
References: 14
Page: 185-192
PDF size: 382.58 Kb.
ABSTRACT
Introduction: pseudocysts pancreas (PP) are collections of pancreatic juice that occur as a complication of pancreatic inflammation, most of them presents spontaneous resolution, may be complicated by: infection, intestinal obstruction and the way biliary, bleeding and rupture, among othersObjective: To inform the experience in the surgical treatment of patients with pseudocyst pancreas in pediatric age.
Material and methods: a study was conducted descriptive, ambispectivo, retrolectivo, in which were revised the clinical histories of all patients diagnosed with pseudocyst pancreas cared for in the period February 2007- April 2008.
Results: They found four cases, two female and two men. All the patients were taken after episodes of pancreatitis, in two cases was determined etiology litiasic obstructive and in two cases idiopathic. The clinical picture was characterized by abdominal pain, the presence of abdominal mass, and jaundice. The laboratory studies to income showed amylase high and lipase high. The studies of cabinet included abdominal ultrasound, computed axial tomography, series upper and colangioresonancia. The treatment was surgical in four cases. There was no procedure by endoscopic. There was no mortality. The four patients are under medical surveillance in the outpatient consultation, currently asymptomatic.
Conclusions: The pseudocyst pancreas occurs in both sexes and at any age pediatric; there are various treatment options. The ultrasound and ct scans are the methods of cabinet more useful to corroborate the diagnosis and for the election of surgical treatment. The therapeutic method depends on the size, maturity, location, and complications of pseudocyst. In our hospital did not have experience in handling endoscopic of this pathology.
REFERENCES