Lumbar Contusion: A Rare Cause of Voluminous Pseudocyst Pancreas in Children
Monsoia Gildas Yassegoungbe, Codjo Serge Metchihoungbe, Baudelaire Romulus Assan, Amoussou Sedjro Clotaire Romeo Houegban, Aldrico Pautin Covi, Mahunakpon Vihotogbe Léon Samuel Boris Gogan, Djifid Morel Seto, Houenoukpo Koco, Geraud Garcia Philemon Satingo Segbedji, Michel Armand Fiogbe
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.
