Lumbar Contusion: A Rare Cause of Voluminous Pseudocyst Pancreas in Children

Authors

  • Monsoia Gildas Yassegoungbe Clinical Pediatric Surgery of the Centre National Hospital and Hubert Koutoukou Maga University, Cotonou, Benin
  • Codjo Serge Metchihoungbe Clinical Pediatric Surgery of the Centre National Hospital and Hubert Koutoukou Maga University, Cotonou, Benin
  • Baudelaire Romulus Assan Clinical Pediatric Surgery of the Centre National Hospital and Hubert Koutoukou Maga University, Cotonou, Benin
  • Amoussou Sedjro Clotaire Romeo Houegban Clinical Pediatric Surgery of the Centre National Hospital and Hubert Koutoukou Maga University, Cotonou, Benin
  • Aldrico Pautin Covi Clinical Pediatric Surgery of the Centre National Hospital and Hubert Koutoukou Maga University, Cotonou, Benin
  • Mahunakpon Vihotogbe Léon Samuel Boris Gogan Clinical Pediatric Surgery of the Centre National Hospital and Hubert Koutoukou Maga University, Cotonou, Benin
  • Djifid Morel Seto Surgical Department, Zone Hospital of Allada, Allada, Benin
  • Houenoukpo Koco Clinical Pediatric Surgery of the Centre National Hospital and Hubert Koutoukou Maga University, Cotonou, Benin
  • Geraud Garcia Philemon Satingo Segbedji Clinical Pediatric Surgery of the Centre National Hospital and Hubert Koutoukou Maga University, Cotonou, Benin
  • Michel Armand Fiogbe Clinical Pediatric Surgery of the Centre National Hospital and Hubert Koutoukou Maga University, Cotonou, Benin

Abstract

The pseudo-cyst of the pancreas (PCP) is a rare affection in Africa, especially in children. We report
the case of a 13 years old girl who has suffers a neglected lumbar trauma for 46 days and complain
of abdominal pain and bloating. The positive examination is an asymmetrical abdomen, increased in
volume as a whole. At palpation we note a voluminous mass slightly painful, mobile in relation to the
superficial plan and adherent to the deep plan taking all the left hemi-abdomen overflowing the middle
line measuring 12 cm of large axis and 10 cm of small axis, soft, renitent, dull to percussion. Abdominal
CT allows to reveal a hypodense structure in contact with the body and tail of the pancreas to their
anterior face to which it connects as a spur, repressing the digestive handles at the bottom and the
stomach at the top. A laparotomy, internal bypass by a kysto-gastric anastomosis with a simple surgical
follow-up, is performed.

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Published

2020-12-15

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Articles