A 7-Year-Old Girl with Early Developed Pseudocyst After Acute Pancreatitis: A Case Report and Literature Review

Journal of Medical Ultrasound

U Chan¹  Chuen-Bin Jiang¹  Shu-Chao Weng¹  Hung-Chang Lee¹  Hsin Chi²  Shin-Lin Shih³ 

[1] Department of Pediatric Gastroenterology, Hepatology and Nutrition, MacKay Children's Hospital, Taipei, Taiwan;Department of Pediatric Infectious Diseases, MacKay Children's Hospital, Taipei, Taiwan;Department of Radiology, MacKay Children's Hospital, Taipei, Taiwan;

关键词: pancreatic pseudocyst;    pancreatitis;    pediatrics;    ultrasonography;   

DOI  :  10.1016/j.jmu.2017.03.015

来源: DOAJ

【 摘 要 】

We report a 7-year-old Taiwanese girl with acute pancreatitis (AP) complicated with pseudocyst (PC). The girl was found to have a PC by ultrasonograpgy (USG) and magnetic resonance imaging 14 days after the onset of AP. The girl was discharged 21 days after management with an asymptomatic PC. The diagnostic criteria of AP included abdominal pain, serum amylase or lipase level, and imaging findings. Transabdominal USG after appropriate preparation with adequate fasting, intake of some liquids during the scanning, and right decubitus position enhance the demonstration of pancreas and peripancreatic structures. PC could be seen in up to 38% of pediatric AP patients. It can form within 2 weeks after the onset of symptoms, although most are late complications. Pancreatic PCs have to be differentiated from other intra-abdominal cysts on USG according to their image character and anatomic location. A well-prepared USG examination in combination with liquid intake and right decubitus position is of value in the diagnosis and follow-up of PC.

【 授权许可】

Unknown