Failure of percutaneous drainage in children with traumatic pancreatic pseudocysts

Frederick J. Rescorla, David Cory, Dennis W. Vane, Karen W. West, Jay L. Grosfeld

Research output: Contribution to journalArticle

31 Scopus citations

Abstract

Recent reports have documented the successful use of percutaneous drainage (PD) in the management of traumatic pancreatic pseudocysts in children. This study presents four cases of pancreatic pseudocyst in which percutaneous catheter drainage was performed. In one instance, no operative therapy was required. However, in the other three cases PD failed to resolve the problem and distal pancreatectomy with splenic salvage was performed when contrast studies (endoscopic retrograde cholangiopancreatography or catheter injection) demonstrated disruption of the main pancreatic duct. This report suggests that children with pancreatic pseudocysts unresponsive to PD require prompt investigation of ductal anatomy to rule out transection or other major injury.

Original languageEnglish (US)
Pages (from-to)1038-1042
Number of pages5
JournalJournal of Pediatric Surgery
Volume25
Issue number10
DOIs
StatePublished - Oct 1990

Keywords

  • Pancreatic pseudocysts

ASJC Scopus subject areas

  • Surgery

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