Informace o publikaci
EUS-guided transmural drainage of a pancreatic pseudocyst in a 3-year-old child
| Autoři | |
|---|---|
| Rok publikování | 2025 |
| Druh | Článek v odborném periodiku |
| Časopis / Zdroj | Gastrointestinal Endoscopy |
| Fakulta / Pracoviště MU | |
| Citace | |
| www | https://www.sciencedirect.com/science/article/pii/S0016510725020346?via%3Dihub |
| Doi | https://doi.org/10.1016/j.gie.2025.09.044 |
| Popis | A 3-year-old boy diagnosed with acute lymphoblastic leukemia developed acute pancreatitis and a pancreatic pseudocyst (PPC) during treatment (A). Initially, transabdominal computed tomography–navigated drainage successfully was used to manage the PPC, but it recurred after the drain was removed. Subsequently, EUS-guided transgastric drainage was performed (B). The PPC was visualized as a 65- × 55-mm cystic structure, compressing the splenic hilum, and containing slightly echogenic fluid with fine detritus. A lumen-apposing metal stent (LAMS), Hot AXIOS 10 × 10 mm (Boston Scientific, Marlborough, Mass, USA) was placed, followed by a coaxial double-pigtail 7Fr 5-cm stent (C). Follow-up abdominal imaging showed regression of the pseudocyst. One month later, both stents were removed and replaced with 2 parallel plastic stents. The stents were not visible on subsequent ultrasound examinations because of their spontaneous migration. The pseudocyst did not recur, so we did not pursue further endoscopy. The patient remains clinically well in his first remission of acute lymphoblastic leukemia and has completed maintenance therapy without any recurrence of PPC. This case marks, to our knowledge, the first reported successful use of a LAMS in a 3-year-old child, highlighting its feasibility in the pediatric population. The patient's successful outcome underscores the efficacy of EUS with LAMSs in managing complex PPCs in pediatric oncology settings. |