Lucaya J, Vázquez E, Caballero F, Chait P G, Daneman A, Wesson D
Department of Pediatric Radiology, Hospital Universitari Materno-Infantil Vall d'Hebron, Ps. Vall d'Hebron, 119-129, E-08 035 Barcelona, Spain.
Pediatr Radiol. 1998 Jan;28(1):5-8. doi: 10.1007/s002470050282.
Objective. To assess the successful non-operative management in traumatic pancreatic pseudocysts (TPP) associated with duct laceration in children. Surgical therapy (cystogastrostomy or distal pancreatectomy with splenic salvage) has been classically considered the treatment of choice for those pseudocysts. Materials and methods. This report presents the clinical and imaging findings in two children with TPP and pancreatic duct disruption observed either on endoscopic retrograde cholangiopancreatography or injection via catheter drainage. Results. Both children responded to long-term cyst drainage. Conclusion. Although the experience is limited, the authors suggest that pancreatic injury associated with duct laceration can respond to non-operative management.
目的。评估儿童创伤性胰腺假性囊肿（TPP）合并胰管撕裂的非手术治疗成功率。经典的治疗方法认为，对于那些假性囊肿，手术治疗（囊肿胃吻合术或保留脾脏的远端胰腺切除术）是首选治疗方法。材料与方法。本报告介绍了两名患有TPP且在内镜逆行胰胆管造影或经导管引流注射时观察到胰管破裂的儿童的临床和影像学表现。结果。两名儿童均对长期囊肿引流有反应。结论。尽管经验有限，但作者认为与胰管撕裂相关的胰腺损伤对非手术治疗有反应。
