Pancreatic Pseudocyst Following Spinal Surgery: Always Think About It-A Case Report.

IF 0.9 4区医学 Q3 SURGERY

Annali italiani di chirurgia Pub Date : 2025-01-01 DOI:10.62713/aic.3798

Maria Vittoria Stern, Filomena Valentina Paradiso, Riccardo Rizzo, Sara Silvaroli, Simone Frediani, Lorenzo Nanni

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引用次数: 0

Abstract

Aim: To report the conservative management of a pancreatic pseudocyst (PP) following spinal surgery for neurogenic scoliosis in a pediatric patient.

Case presentation: A 12-years-old girl presented with spinal arthrodesis and lumbar fixation for neurogenic scoliosis secondary to cerebral palsy (CP). On postoperative day 11, abdominal computed tomography (CT) showed accumulated fluid (74 × 52 mm) extending along the greater gastric curvature, from the left liver lobe to the anterior abdominal wall.

Results: The fluid was percutaneously drained. The fluid contained a high concentration of amylase; therefore, a diagnosis of PP was made. After 23 days, the symptoms progressively resolved, and the accumulated fluid disappeared. Gastrointestinal complications following spinal surgery in patients with CP are reported in 5%-55% of cases; among these, PP is extremely rare. Pancreatic postoperative ischemia or pancreatic iatrogenic trauma are possible causes of PP formation. In our case, conservative management was safe and effective.

Conclusions: In patients with persistent postoperative abdominal symptoms following spinal surgery, pancreatic complications should be ruled out. If PP is diagnosed, conservative management is recommended, particularly in young patients with a poor general condition.

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脊柱手术后胰腺假性囊肿：经常考虑- 1例报告。

目的：报道一名小儿神经源性脊柱侧凸脊柱手术后胰腺假性囊肿的保守治疗。病例介绍：一名12岁女孩，因继发于脑瘫（CP）的神经源性脊柱侧凸接受脊柱关节融合术和腰椎固定。术后第11天，腹部计算机断层扫描（CT）显示积液（74 × 52 mm）沿胃大弯延伸，从左肝叶到前腹壁。结果：经皮引流。液体中含有高浓度的淀粉酶；因此，诊断为PP。23天后，症状逐渐缓解，积液消失。5%-55%的CP患者脊柱手术后出现胃肠道并发症；其中，PP极为罕见。胰腺术后缺血或医源性创伤是PP形成的可能原因。在我们的病例中，保守治疗是安全有效的。结论：脊柱手术后持续腹部症状的患者应排除胰腺并发症。如果确诊为PP，建议采取保守治疗，特别是一般情况较差的年轻患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annali italiani di chirurgia 医学-外科

CiteScore

0.90

自引率

12.50%

发文量

116

审稿时长

>12 weeks

期刊介绍： Annali Italiani di Chirurgia is a bimonthly journal and covers all aspects of surgery:elective, emergency and experimental surgery, as well as problems involving technology, teaching, organization and forensic medicine. The articles are published in Italian or English, though English is preferred because it facilitates the international diffusion of the journal (v.Guidelines for Authors and Norme per gli Autori). The articles published are divided into three main sections:editorials, original articles, and case reports and innovations.