A Giant Bleeding Pancreatic Pseudocyst after a Blunt Traumatism in a Thirteen Year-Old Child

Abstract

A thirteen year-old boy presented with a grade IV blunt pancreatic traumatism with a cephaloisthmic disjunction. A giant pancreatic pseudocyst was developed and complicated with a massive intracystic bleeding. An evacuation and drainage of all collections was performed by laparotomy. Intracystic bleeding is rare but potentially letal, CT/MRI and selective angiography lead to a better management. Surgical treatment may be confined to recurrent, multiple or > 200 mm pseudocysts.