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Background <p>Congenital pancreatic pseudocysts are extremely rare in children, with unclear etiologyand limited reported cases. Their diagnosis is challenging, especially in true congenital cases identified before birth. Management varies based on etiology, size, and location, with surgical intervention often required. </p> Case presentation <p>We present a rare case of a 3-year-old girl with recurrent pancreatic pseudocyst after surgical cystectomy performed when she was8 months old. Contrast-enhanced computed tomography (CT) and endoscopic ultrasound (EUS) confirmed the diagnosis, and cystogastrostomy was performed. Fluid analysis and cytology indicated an inflamed pancreatic pseudocyst without malignancy or bacterial growth.</p> Conclusion <p>To our knowledge, this is the first documented case of recurrent congenital pancreatic pseudocyst following surgical correction. It highlights the need for long-term follow-up and further research on optimal management strategies for such rare cases.</p>

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Recurrent congenital pancreatic pseudocyst: an exceptionally rare case report

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月17日

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  • Hussein Hassan Okasha,
  • Abeer Abdellatef,
  • Mohamed Nabil Alkady

摘要

Background

Congenital pancreatic pseudocysts are extremely rare in children, with unclear etiologyand limited reported cases. Their diagnosis is challenging, especially in true congenital cases identified before birth. Management varies based on etiology, size, and location, with surgical intervention often required.

Case presentation

We present a rare case of a 3-year-old girl with recurrent pancreatic pseudocyst after surgical cystectomy performed when she was8 months old. Contrast-enhanced computed tomography (CT) and endoscopic ultrasound (EUS) confirmed the diagnosis, and cystogastrostomy was performed. Fluid analysis and cytology indicated an inflamed pancreatic pseudocyst without malignancy or bacterial growth.

Conclusion

To our knowledge, this is the first documented case of recurrent congenital pancreatic pseudocyst following surgical correction. It highlights the need for long-term follow-up and further research on optimal management strategies for such rare cases.