Recurrence of a Congenital Pancreatic Cyst Mimicking Omental Cyst after Laparoscopic Cyst Resection

Introduction

Pancreatic cysts are uncommon in pediatric patients. The majority of pancreatic cysts in children are pseudocysts, either traumatic or occurring after acute pancreatitis. True congenital pancreatic cysts are extremely rare, comprising less than 1 % of all pancreatic cysts in children [8]. To the best of our knowledge, only 26 cases have been reported in the literature. We report here a case of congenital pancreatic cyst that recurred after laparoscopic subtotal cystectomy.

References

• 1 Agarwala S, Lai A, Bhatnagar V. et al . Congenital true pancreatic cyst: presentation and management.  Trop Gastroenterol. 1999;  20 87-88
• 2 Auringer S T, Ulmer J L, Summer T E. et al . Congenital cyst of the pancreas.  J Pediatr Surg. 1993;  28 1570-1571
• 3 Baker L L, Hartman G E, Northway W H. Sonographic detection of congenital pancreatic cysts in the newborn: report of a case and review of the literature.  Pediatr Radiol. 1990;  20 488-490
• 4 Boulanger S C, Borowits D S, Fisher J F. et al . Congenital pancreatic cysts in children.  J Pediatr Surg. 2003;  38 1080-1082
• 5 Casadei R, Campione O, Greco V M. et al . Congenital true pancreatic cysts in young adults: case report and literature review.  Pancreas. 1996;  12 419-421
• 6 Daher P, Diab N, Melki I. et al . Congenital cyst of the pancreas. Antenatal diagnosis.  Eur J Pediatr Surg. 1996;  6 180-182
• 7 Hopper M SC, Boultbee J E, Watson A R. Polyhydramnios associated with congenital pancreatic cysts and asphyxiating thoracic dysplasia. A case report.  S Afr Med J. 1979;  56 32-33
• 8 Kazez A, Akpolat N, Kocakoc E. et al . Congenital true pancreatic cyst: a rare case.  Diagn Interv Radiol. 2006;  12 31-33
• 9 Mares A J, Hirsch M. Congenital cysts of the head of the pancreas.  J Pediatr Surg. 1977;  12 547-551
• 10 Miles R M. Pancreatic cyst in the newborn.  Ann Surg. 1959;  149 576-581
• 11 Olurin E O. Pancreatic cysts: a report of 10 cases.  Brit J Surg. 1971;  58 502-508
• 12 Pilot L MJR, Gooselaw J G, Isaacson P G. Obstruction of the common bile duct in the newborn by a pancreatic cyst.  Lancet. 1964;  84 204-205
• 13 Power W H. Pancreatic cyst in infancy: recovery after marsupialization.  B Med Surg. 1961;  2 625-626
• 14 Ricketts R R. Mesenteric and omental cysts. Grosfeld JL, O'Neill JA, Fonkalsrud EW, Coran AG Pediatric Surgery. 6th ed. Philadelphia; Mosby Elsevier 2006: 1399-1406
• 15 Schier F, Waag K L, Ure B. Laparoscopic unroofing of splenic cysts results in a high rate of recurrences.  J Pediatr Surg. 2007;  42 1860-1863
• 16 Shieh C, Eng H L, Huang S. et al . Congenital pancreatic cyst presenting as acute pancreatitis in an adolescent.  J Pediatr Gastroenterol Nutr. 1994;  18 490-493
• 17 Wolloch Y, Chaimoff C, Lubin E. et al . Splenic vein thrombosis, segmental portal hypertension and bleeding esophageal varices produced by a congenital pancreatic cyst.  Isr J Med Sci. 1974;  10 670-673