Abstract

The pseudo-cyst of the pancreas (PCP) is a rare affection in Africa, especially in children. We report the case of a 13 years old girl who has suffers a neglected lumbar trauma for 46 days and complain of abdominal pain and bloating. The positive examination is an asymmetrical abdomen, increased in volume as a whole. At palpation we note a voluminous mass slightly painful, mobile in relation to the superficial plan and adherent to the deep plan taking all the left hemi-abdomen overflowing the middle line measuring 12 cm of large axis and 10 cm of small axis, soft, renitent, dull to percussion. Abdominal CT allows to reveal a hypodense structure in contact with the body and tail of the pancreas to their anterior face to which it connects as a spur, repressing the digestive handles at the bottom and the stomach at the top. A laparotomy, internal bypass by a kysto-gastric anastomosis with a simple surgical follow-up, is performed.