Pseudo pancreatic cyst in a child is commonly due to:
|B||Drug induced pancreatitis|
a. Pancreatitis in children is uncommon and represents a diagnostic challenge for clinicians. Although most adult cases of pancreatitis are caused by alcohol abuse or gallstone disease, the etiology for pancreatitis in children is diverse.
b. The predominant causes include abdominal trauma (23%), anomalies of the pancreaticobiliary system (15%), multisystem disease (14%), drugs and toxins (12%), viral infections (10%), hereditary disorders (2%), and metabolic disorders (2%). In up to 25% of cases the etiology of childhood pancreatitis is unknown.
c. Chronic pancreatitis in children is associated with trauma, systemic disease, and pancreaticobiliary malformations, most commonly pancreatic divisum.
d. Patients with this disease typically present with chronic abdominal pain that can be difficult to treat.
e. These patients have recurrent episodes of upper abdominal pain associated with varying degrees of pancreatic dysfunction and have increased risk of developing pancreatic insufficiency, adenocarcinoma, and pancreatic pseudocysts.
f. Children with pancreatic pseudocysts may present with localized abdominal pain and a palpable tender epigastric mass or abdominal fullness.
g. Additional symptoms include jaundice, chest pain, nausea, vomiting, anorexia, weight loss, fever, ascites, and rarely, GI hemorrhage