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    Go to the top of the page   ID: 20030830131020 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Pancreatic rupture with pseudocyst formation
    Dirk Schaper, V Hofmann. Pancreatic rupture with pseudocyst formation. PedRad [serial online] vol 3, no. 8.
    URL: www.PedRad.info/?search=20030830131020


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Dirk Schaper, V. Hofmann (Kinderchirurgie St. Barbara-KH Halle)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    6 Years  

     
     Pediatric Radiology CasesGender:

    Female  

     
     Pediatric Radiology CasesRegion-Organ:

    Abdomen-Pancreas  

     
     Pediatric Radiology CasesMost likely etiology:

    physical  

     
     Pediatric Radiology CasesHistory:

    6 years old girl, fall from bicycle, severe abdominal pain, emesis, sweating. Acute admission under suspicion of head injury, abdominal trauma. Abdominal pain on palpation, no bruises, mild resistance.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    N/A  

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Incontinuously bordered, echo weak process in the pancreatic tail.



    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Echogenic and weakened echo structures are shown retrovesically.



    Ultrasound 3 <- view Ultrasound 3

    Ultrasound 3: Development of a weakened echo, sharply bordered area in the pancreatic body.



    Ultrasound 4 <- view Ultrasound 4

    Ultrasound 4: Additional development of a further echo weak area rather distant from the organ.



    Ultrasound 5 <- view Ultrasound 5

    Ultrasound 5: Large echo weak area distant from the organ with connection to the area near the organ.



    Ultrasound 6 <- view Ultrasound 6

    Ultrasound 6: Findings after aspiration, catheter placement.



    Ultrasound 7 <- view Ultrasound 7

    Ultrasound 7: Healing with scar tissue.



    Ultrasound 8 <- view Ultrasound 8

    Ultrasound 8: Healing with colored doppler: vascularisation is held upright.



    Ultrasound 9 <- view Ultrasound 9

    Ultrasound 9: Left findings, enlargement of teh pancreatic duct.

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Imaging including endoscopy  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Pancreatic cyst, i.e. due to lymphangioleiomyomatosis, pancreatitis  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    After the diagnosis was made, the girl was kept in the intensive care unit for surveillance (rupture depiction, free fluid and clot behind the bladder [Image 1 & 2]). Because of the increasing development of other pseudocysts (Image 3, 4, & 5). an aspiration of the cyst was done. Insertion of a catheter (Image 6); through that healing up of the cyst of the rupture point (Image 7, 8, & 9).  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Morise Z, Yamafuji K, Tsuji T, Asami A, Takeshima K, Hayashi N, Baba H, Yoshida F, Abe Y, Tokura Y.
    A giant retention cyst of the pancreas (cystic dilatation of dorsal pancreatic duct) associated with pancreas divisum
    J Gastroenterol. 2002;37(12):1079-82

    2. Medline: Medline
    Snajdauf J, Stuj J, Kocmichova B, Rozkova M, Mojzisova M, Keil R, Cumlivska E, Belsan T.
    Rupture of the pancreas in children--present trends in diagnosis and therapy
    Rozhl Chir. 1999 Oct;78(10):520-4  

     
     Pediatric Radiology CasesKeywords:

    Rupture of pancreas, Pancreas pseudocyst, Pancreatic Pseudocyst, Pancreatic rupture, Trauma, Pancreas, Pseudocyst, , child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Dirk Schaper, V Hofmann. Pancreatic rupture with pseudocyst formation. PedRad [serial online] vol 3, no. 8.
    URL: www.PedRad.info/?search=20030830131020  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Abdomen-Pancreas
    or in the region: Abdomen
    or in the tissue/organ: Pancreas
    or with the etiology: physical
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     
    Pancreatic rupture with pseudocyst formation
    Dirk Schaper, V Hofmann. Pancreatic rupture with pseudocyst formation. PedRad [serial online] vol 3, no. 8.
    URL: www.PedRad.info/?search=20030830131020


     

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    Pancreatic rupture with pseudocyst formation
    Other cases by these authors:

    Search Dirk Schaper in Medline Dirk Schaper (43)   
    Search V. Hofmann in Medline V. Hofmann (17)   

    Pancreatic rupture with pseudocyst formation  
     
    Pancreatic rupture with pseudocyst formation
    Dirk Schaper, V Hofmann. Pancreatic rupture with pseudocyst formation. PedRad [serial online] vol 3, no. 8.
    URL: www.PedRad.info/?search=20030830131020


     

    Which diagnosis have other collegues guessed?


    • Pancreatic carcinoma
      Votes: 1 (4 %)


    • Pancreatic rupture
      Votes: 15 (68 %)


    • Duodenal rupture
      Votes: 1 (4 %)


    • Insulinoma
      Votes: 1 (4 %)


    • Lymphangioleiomyomatosis
      Votes: 1 (4 %)


    • Pancreatitis
      Votes: 3 (13 %)



        Total answers: 22

     
    Pancreatic rupture with pseudocyst formation
    Dirk Schaper, V Hofmann. Pancreatic rupture with pseudocyst formation. PedRad [serial online] vol 3, no. 8.
    URL: www.PedRad.info/?search=20030830131020


     

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    Pancreatic rupture with pseudocyst formation
    Dirk Schaper, V Hofmann. Pancreatic rupture with pseudocyst formation. PedRad [serial online] vol 3, no. 8.
    URL: www.PedRad.info/?search=20030830131020


     




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