EN
TÜRKÇE
Poster - 5
Pediatric Pancreatic Pseudocyst; Presentations, Management, and Complications in Sudan: A Multi-Centre’s Study
Rayan Elhag 1, Abdelrahman Elnour 1, Faisal Nugud 2, Osman Taha 2
1 National Centre of Pediateric Surgey
2 University of Gezira
Purpose:
Pediatric pancreatic pseudocysts (PPCs) are rare complications of acute or chronic pancreatitis. Prompt diagnosis and appropriate management are critical to reducing morbidity and mortality. This multicenter study aimed to describe the demographic characteristics, clinical presentations, complications, and management approaches of PPCs in Sudan.
Methods:
This descriptive cross-sectional study was conducted in six pediatric surgery centers in Sudan and included all children diagnosed with PPCs between March 2020 and February 2023. Clinical data, imaging, interventions, and outcomes were analyzed.
Results:
Forty pediatric patients were included (26 boys, 14 girls; mean age 7.5 years), with 55% from urban areas. Blunt abdominal trauma was the most common cause (90%), primarily due to cart injuries (42.5%). Common symptoms included epigastric pain (87.5%), abdominal distension (77.5%), and vomiting (70%), with a median symptom duration of 8 weeks. Internal surgical intervention was the most common treatment, primarily open cystogastrostomy (57.5%), followed by percutaneous drainage (39.4%) and marsupialization (9.1%). Laparoscopic-assisted drainage was rare (2 cases). The most frequent complication was intestinal obstruction (57.5%). There were two deaths and five postsurgical complications.
Conclusion:
Blunt abdominal trauma, especially from cart injuries, is the leading cause of PPCs in Sudanese children. Open surgical intervention remains the primary management due to resource constraints.