Abstract

PRIARONE, Carlos Maximiliano et al. WON transgastric percutaneous drainage complicated in a pediatric patient. CES Med. [online]. 2021, vol.35, n.3, pp.316-324.  Epub Mar 22, 2022. ISSN 0120-8705.  https://doi.org/10.21615/cesmedicina.5443.

The complications of acute pancreatitis are divided into systemic and local such as acute pancreatic fluid collections, acute necrotic collection, pseudocyst and pancreatic walled necrosis. The case of a nine-year-old girl with idiopathic severe acute pancreatitis who developed a pancreatic walled necrosis of 75 x 45mm is reported. Due to the persistence of abdominal pain and intolerance to the oral route, despite medical treatment, a trans gastric percutaneous approach was indicated for the treatment of pancreatic walled necrosis. Technical and therapeutic success was obtained through the drainage of the collection, allowing to start the oral route and decreasing the analgesia requirements. The patient evolved satisfactorily, with surgical discharge after 13 days and removal of the catheter after 30 days. After 4 months of follow-up, a recurrent asymptomatic collection was evidenced, being handled in a conservative manner. The above mentioned allows considering that the trans-gastric percutaneous approach is a safe and effective technique; however, evaluating the effectiveness and morbimortality in pediatric population requires other studies that make possible to reach conclusions that generate more scientific evidence.

Keywords : acute necrotizing pancreatitis; minimally invasive surgical procedures; pancreatic pseudocyst; pancreatic fistula; wall off necrosis.

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