FAILURE OF PERCUTANEOUS DRAINAGE IN CHILDREN WITH TRAUMATIC PANCREATIC PSEUDOCYSTS

被引:23
作者
RESCORLA, FJ
CORY, D
VANE, DW
WEST, KW
GROSFELD, JL
机构
[1] JAMES WHITCOMB RILEY HOSP CHILDREN,INDIANAPOLIS,IN 46202
[2] INDIANA UNIV,MED CTR,DEPT RADIOL,PEDIAT RADIOL SECT,INDIANAPOLIS,IN 46204
[3] INDIANA UNIV,MED CTR,DEPT SURG,PEDIAT SURG SECT,INDIANAPOLIS,IN 46204
关键词
Pancreatic pseudocysts;
D O I
10.1016/0022-3468(90)90214-T
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Recent reports have documented the successful use of percutaneous drainage (PD) in the management of traumatic pancreatic pseudocysts in children. This study presents four cases of pancreatic pseudocyst in which percutaneous catheter drainage was performed. In one instance, no operative therapy was required. However, in the other three cases PD failed to resolve the problem and distal pancreatectomy with splenic salvage was performed when contrast studies (endoscopic retrograde cholangiopancreatography or catheter injection) demonstrated disruption of the main pancreatic duct. This report suggests that children with pancreatic pseudocysts unresponsive to PD require prompt investigation of ductal anatomy to rule out transection or other major injury. © 1990.
引用
收藏
页码:1038 / 1042
页数:5
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