Paper Title: Traumatic pseudocyst of the pancreas: a diagnostic dilemma
Authors: Igwe P.O., Jebbin N.J., Dodiyi-Manuel A., Okpani C.P.
BACKGROUND: Pseudocyst of the pancreas following trauma is an uncommon abdominal condition . Its diagnosis is infrequently made before surgery because of its varying ways of presentation and masquerading as other cystic abdominal conditions. AIMS AND OBJECTIVES: This is to report a case of traumatic pseudocyst of the pancreas in a female patient aged 30 years with the hope of increasing awareness among practicing surgeons. CASE REPORT: A 30-year-old female presented with a history of sudden onset of left upper abdominal pain and abdominal swelling of seven years duration following a road traffic accident. She was neither pale nor dehydrated. Her pulse rate was 84 per minute and blood pressure was 110/70 mmHg. She was resuscitated and had an exploratory laparotomy. The patient was found to have a pseudocyst of the pancreas and a cystogastrostomy was performed. Her postoperative follow-up was satisfactory. Conclusion: Pseudocyst of the pancreas following trauma is uncommon. Sometimes it may pose a diagnostic challenges. A high index of suspicion, early diagnosis, careful resuscitation and skillful surgical intervention will improve outcome.