Abstract:
Abstract
Introduction. Pancreatic pseudocysts (PP) in children represent a
common complication of acute or traumatic pancreatitis. They consist of
enzyme-rich fluid collections surrounded by a non-epithelial fibrous wall.
Clinical manifestations vary from asymptomatic evolution to abdominal pain,
obstruction, or septic complications.
Objective. To evaluate the clinical, imaging, and therapeutic
characteristics of pancreatic pseudocysts in children in order to optimize
diagnostic and treatment strategies.
Material and methods: This retrospective study included 62 pediatric
patients diagnosed with pancreatic pseudocysts between 2020–2024.in IMsi
C. Patients ranged from 3 to 16 years of age. Diagnosis was established by
abdominal ultrasound and CT scan. Management strategies included
observation, minimally invasive drainage, or surgical intervention.
Results. Pseudocysts developed most commonly following acute
pancreatitis (64.5%) or abdominal trauma (27.4%). Sizes ranged from 2.5 to
14 cm. Conservative treatment was effective in 46.7% of cases with complete
resolution. Ultrasound-guided percutaneous drainage was required in 32.2%,
while 21% underwent internal drainage or open surgery. Complications such
as infection or hemorrhage occurred in 11.3%. The overall therapeutic
success rate exceeded 95%.
Conclusion. The management of pancreatic pseudocysts in children must
be tailored to etiology, size, and symptoms. While small asymptomatic
pseudocysts can be monitored, larger or complicated lesions require
minimally invasive or surgical drainage. Appropriate technique selection
reduces complications and ensures favorable outcomes.
