Traumatic Giant Pancreatic Pseudocyst in Pediatric Patient: A Rare Case Report

Aims: To report cases of pancreatic cysts, the flow of diagnosis, and management of these cases.

Case Description: We reported a case of pancreatic cyst in a 14-year-old boy. The patient presented with a chief complaint of epigastric discomfort for about 4 months accompanied by stomach enlargement. This complaint may be due to a road accident by stomach trauma a year ago. On the physical examination, no tenderness in all abdomen quadrants was found with palpable fixed intra-abdominal mass measuring 18x15 cm. The CT scan examination showed the presence of cystic lesions with defined regular margins intraperitoneally that pushed the intestinal system and abdominal organs posteriorly. Laparotomy Roux-en-Y was performed on the patient. Operation was done without further complication.

Discussion: The boy hit his stomach a year ago, resulting in the symptoms and disorder of the abdomen that started to appear 4 months ago. This disorder can occur due to trauma to the abdomen that causes pancreatic disorders. Pancreatic cyst disorder most common in children with a history of abdominal trauma is pancreatic pseudocyst. The diagnosis confirmed from CT scan findings showed the presence of cystic lesion. Laparotomy Roux-en-Y was chosen as the management of pancreatic pseudocyst. The procedure was chosen due to its high success rate and low risk of complications.

Conclusion: Pancreatic cyst is a rare disorder. Pancreatic pseudocyst most commonly occurs in children due to abdominal trauma. Physical examination showed enlargement in the abdominal region. The diagnosis was confirmed by ultrasound and CT scan. There were many choices of treatment procedures. Laparotomy Roux-en-Y was chosen due to its benefits. The laparotomy procedure was done without any complications.