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CEPHALIC DUODENOPANCREATECTOMY IN THE NEONATAL PERIOD: A CASE REPORT AND REVIEW OF THE LITERATURE

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Last updated: 01 Feb 2025

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Abstract

Background: Pancreatic masses in the neonatal period are a rare pathology. Resection of the head of the pancreas is an exceptional surgical challenge due to the need to perform millimetric anastomosis, therefore, subsequent complications are frequent.

Methods: Case report and review of published articles on cephalic duodenopancreatectomies (CDP) in patients less than 28 days-old.

Case report: An 11-days-old female newborn, 3030g, consulted for apnea and cyanosis. Magnetic resonance imaging showed a cystic mass in the right hypochondrium measuring 6.2x5.9x6.4mm with suspicion of malignancy. At 22 days of life a laparotomy was performed finding a mass in the head of the pancreas firmly adhered to the extrahepatic biliary tract and duodenum. A CDP and reconstruction by gastroduodenostomy, hepatico-duodenostomy (Kasai-like) and dunking pancreato-gastrostomy were performed. The pathological anatomy described a serous cystadenoma. With 6 years of follow-up, she has presented a single episode of cholangitis, with no signs of endocrine or exocrine insufficiency.

Results (Table 1): 6 patients with CDP less than 28 days have been described. The surgical technique presented many variations. Five patients presented complications, the most frequent being exocrine insufficiency.

Conclusion: CDP in the neonatal period is an exceptional procedure, with only 5 other cases described in the literature. We present CDP on the largest mass described so far, with no signs of pancreatic insufficiency in a long-term follow-up.

DOI

10.21608/apsj.2024.264434.1078

Keywords

Whipple procedure, cephalic duodenopancreatectomy, Neonatal, Pancreatic mass

Authors

First Name

Isabel

Last Name

Bada Bosch

MiddleName

-

Affiliation

Hospital Universitario Gregorio Marañón. Pediatric Surgery Department.

Email

isabel.bada.bosch@gmail.com

City

Madrid

Orcid

0000-0003-3434-3442

First Name

Julio

Last Name

Cerdá Berrocal

MiddleName

Arturo

Affiliation

Hospital Universitario Gregorio Marañón. Pediatric Surgery Department.

Email

jac002cp@gmail.com

City

Madrid

Orcid

-

First Name

Manuel

Last Name

De La Torre

MiddleName

-

Affiliation

Hospital Universitario Gregorio Marañón. Pediatric Surgery Department.

Email

manueldltm@gmail.com

City

Madrid

Orcid

0000-0001-9180-1601

First Name

César

Last Name

Sánchez Sánchez

MiddleName

-

Affiliation

Hospital Universitario Gregorio Marañón. Pediatric Gastroenterology, Hepatology and Nutrition Unit

Email

sangoros@hotmail.com

City

Madrid

Orcid

0000-0002-1823-0467

First Name

María del Mar

Last Name

Tolín Hernani

MiddleName

-

Affiliation

Hospital Universitario Gregorio Marañón. Pediatric Gastroenterology, Hepatology and Nutrition Unit.

Email

mar.tolinhernani@gmail.com

City

Madrid

Orcid

0000-0002-8832-4696

First Name

Carmen

Last Name

Miranda Cid

MiddleName

-

Affiliation

Hospital Universitario Gregorio Marañón. Pediatric Gastroenterology, Hepatology and Nutrition Unit.

Email

mcmirandina@gmail.com

City

Madrid

Orcid

-

First Name

Agustín

Last Name

Del Cañizo López

MiddleName

-

Affiliation

Hospital Universitario Gregorio Marañón. Pediatric Surgery Department.

Email

agustinclopez@hotmail.com

City

Madrid

Orcid

0000-0002-1571-2209

First Name

Esther

Last Name

Molina

MiddleName

-

Affiliation

Hospital Universitario Gregorio Marañón. Pediatric Surgery Department.

Email

esthermolina333@gmail.com

City

Madrid

Orcid

-

First Name

Juan Carlos

Last Name

De Agustín Asensio

MiddleName

-

Affiliation

Hospital Universitario Gregorio Marañón. Pediatric Surgery Department.

Email

juancarlosde.agustin@salud.madrid.org

City

Madrid

Orcid

0000-0002-2413-2871

Volume

20

Article Issue

20

Related Issue

52021

Issue Date

2024-12-01

Receive Date

2024-01-21

Publish Date

2024-12-01

Print ISSN

1687-4137

Online ISSN

2090-5394

Article File

APSJ3925241733004000.pdf

PDF . 804.2kB

Link

https://apsj.journals.ekb.eg/article_392524.html

Detail API

http://journals.ekb.eg?_action=service&article_code=392524

Order

392,524

Type

Case Reports

Type Code

2,879

Publication Type

Journal

Publication Title

Annals of Pediatric Surgery

Publication Link

https://apsj.journals.ekb.eg/

MainTitle

CEPHALIC DUODENOPANCREATECTOMY IN THE NEONATAL PERIOD: A CASE REPORT AND REVIEW OF THE LITERATURE

Details

Type

Article

Created At

01 Feb 2025