DOI: 10.36347/sjmcr.2024.v12i06.053

Pages: 1178-1181

Introduction: The pancreatic pseudocyst is usually a peripancreatic fluid collection with a wall, almost always sterile [2, 3]. Most of them are located in the pancreatic tail and usually produce amylase elevation. In 1761, Morgan and his team discovered the first pancreatic pseudocyst after an autopsy, establishing the characteristics of its formation and anatomy [1]. Its incidence is 1 per 100,000 cases per year with a prevalence of 6% to 18.5% in the adult population. They are rare in children, with female predominance. 50% to 70% of these heal spontaneously within six months [7]. Currently, the treatment of pancreatic pseudocysts is conservative; current criteria establish that only symptomatic patients should be treated. The interventional treatment options range from endoscopic treatment to removal by distal pancreatectomy. Clinical Case: A 13-year-old female patient with no medical history presented with abdominal pain located in the epigastrium with radiation to the right hypochondrium and incoercible vomiting for 3 days. Ultrasound showed distended gallbladder with thickened walls and gallstones. The condition worsened a few hours after admission, requiring urgent diagnostic laparoscopy with trans-surgical findings of free serosanguineous fluid (1200 ml) in the abdominal cavity and signs of necrohemorrhagic pancreatitis of possible biliary etiology. The patient underwent postoperative hospital surveillance for 8 days and did not show complications. A plain and contrast CT scan of the abdomen was performed with a result of pancreas with defined borders and decrease of cystic volume: 90 cm3 in relation to the previous size of 250 cm3 and permeable cystogastric fistula. She has been maintained in subsequent outpatient controls, and after 5 months of being treated, she is evaluated as an asymptomatic patient. Conclusions: Pancreatic pseudocyst is a rare disease and its development in pediatric patients is uncommon. The diagnosis of this pathology ........