Blunt pancreatic injuries in children: The role of percutaneous external drainage in the treatment of pancreatic pseudocysts

Efficacy of Endoscopic Ultrasound-Guided Drainage of Pancreatic Pseudocysts in a Pediatric Population

“…However, this has been shown to have potentially high morbidity up to 35% and mortality up to 10% [20]. Percutaneous drainage has also been used in selected cases as an alternative approach but has been reported to have limited efficacy [21]. In the past two decades, endoscopic (transmural) drainage of pseudocysts has been demonstrated to have similar efficacy to surgery with less morbidity in studies of adults [3,4,8].…”

Ultrasound of the pancreas: update and controversies

“…Although usually we follow-up these patients with CT, US can also be an excellent technique for the study of all acute pancreatic pathology, as we discussed previously. Nevertheless, although US is less accurate than CT in determining the severity of the initial injury, it is useful in the evaluation and treatment of pancreatic pseudocysts [35].…”

Percutaneous drainage treatment of traumatic pancreatic rupture with pancreatic transection

“…[1][2][3][4][5][6]9 In childhood and adolescence, the most common cause of pancreatic injury is blunt abdominal trauma resulting from different causes: bicycle handlebar injuries, traffic accidents, physical abuse, etc. 2,4,7 According to some authors, a child suffering from blunt pancreatic trauma will develop a pancreatic pseudocyst up to 40% of the time, 4,5 although this is probably an underestimate of the real incidence, since minor incidents may not be recorded.…”

“…4,5,[9][10][11] However, if there is persistent abdominal pain, fever and increase in size as seen in an ultrasound scan, or when there is no spontaneous resolution, drainage is necessary in order to avoid complications; hemorrhage, perforation, infection, or intestinal or biliary tract obstruction 4,5,10 can be seen in up to one-third of the cases.…”