2010 Volume 46 Issue 1 Pages 32-36
We describe a case of traumatic pancreatic pseudocyst successfully treated by endoscopic transgastric drainage. A 10-year-old girl was admitted with abdominal pain caused by blunt epigastric injury. Abdominal computed tomography (CT) showed a hematoma anterior to the pancreas with peripancreatic effusion leading to a diagnosis of traumatic pancreatitis. She subsequently complained of abdominal pain with an elevation of serum amylase, and the abdominal CT on the 20th hospital day revealed multiple pancreatic pseudocysts, one of which communicated with the main pancreatic duct. The multiple pseudocysts enlarged up to 14 cm in diameter and bulged into the posterior gastric wall. On the 59th day, endoscopic transgastric drainage of the pseudocyst was performed without any complications. Abdominal pain promptly resolved in parallel with decreases of serum amylase level and the pseudocyst size. An endoscopic transgastric drainage can be accomplished safely and effectively, which is less invasive than laparotomy or percutaneous drainage.
