Gastric outlet obstruction secondary to giant traumatic pancreatic pseudocyst

• Main Authors: Yahya, Muhammad Zakwan, Kew, Thean Yean, Abd Majid, Malinda, Tan, Tiong Keat
• Format: Article
• Language: English
• Published: Open Source Publications 2024
• Subjects: RD93 Emergency Surgery. Wounds and Injuries
• Online Access: http://irep.iium.edu.my/115660/1/115660_Gastric%20outlet%20obstruction%20secondary.pdf; http://irep.iium.edu.my/115660/; https://jcimcr.org/pdfs/JCIMCR-v5-3298.pdf
• Institution: Universiti Islam Antarabangsa Malaysia

Traumatic pancreatic injury is rare due to its retroperitoneal location and relative protection to the organ. Pancreatic pseudocyst formation may occur following pancreatic trauma, but giant pseudocyst rarely develops. Early management is recommended for giant pancreatic pseudocysts before clinical deterioration. We presented a case report with gastric outlet obstruction symptoms in the casualty department. Imaging investigations Computed Tomography (CT) confirmed the presence of pancreatic transection with giant pseudocyst formation. He underwent endoscopic cystogastrostomy with immediate resolution of the symptoms. Imaging is essential for earlier detection and severity of the pancreatic injury and its complication like pancreatic pseudocyst formation. Imaging follows up are needed to monitor disease recurrence or suspected pancreatic duct injury and assess pancreatic ductal integrity before transluminal stent removal.