CEPHALIC DUODENOPANCREATECTOMY IN THE NEONATAL PERIOD: A CASE REPORT AND REVIEW OF THE LITERATURE
Bada Bosch, I., Cerdá Berrocal, J., De La Torre, M., Sánchez Sánchez, C., Tolín Hernani, M., Miranda Cid, C., Del Cañizo López, A., Molina, E., De Agustín Asensio, J. (2024). CEPHALIC DUODENOPANCREATECTOMY IN THE NEONATAL PERIOD: A CASE REPORT AND REVIEW OF THE LITERATURE. EKB Journal Management System, 20(20), -. doi: 10.21608/apsj.2024.264434.1078
Isabel Bada Bosch; Julio Arturo Cerdá Berrocal; Manuel De La Torre; César Sánchez Sánchez; María del Mar Tolín Hernani; Carmen Miranda Cid; Agustín Del Cañizo López; Esther Molina; Juan Carlos De Agustín Asensio. "CEPHALIC DUODENOPANCREATECTOMY IN THE NEONATAL PERIOD: A CASE REPORT AND REVIEW OF THE LITERATURE". EKB Journal Management System, 20, 20, 2024, -. doi: 10.21608/apsj.2024.264434.1078
Bada Bosch, I., Cerdá Berrocal, J., De La Torre, M., Sánchez Sánchez, C., Tolín Hernani, M., Miranda Cid, C., Del Cañizo López, A., Molina, E., De Agustín Asensio, J. (2024). 'CEPHALIC DUODENOPANCREATECTOMY IN THE NEONATAL PERIOD: A CASE REPORT AND REVIEW OF THE LITERATURE', EKB Journal Management System, 20(20), pp. -. doi: 10.21608/apsj.2024.264434.1078
Bada Bosch, I., Cerdá Berrocal, J., De La Torre, M., Sánchez Sánchez, C., Tolín Hernani, M., Miranda Cid, C., Del Cañizo López, A., Molina, E., De Agustín Asensio, J. CEPHALIC DUODENOPANCREATECTOMY IN THE NEONATAL PERIOD: A CASE REPORT AND REVIEW OF THE LITERATURE. EKB Journal Management System, 2024; 20(20): -. doi: 10.21608/apsj.2024.264434.1078

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

Annals of Pediatric Surgery
Volume 20, Issue 20, 2024  XML PDF (785.38 K)
Document Type: Case Reports
DOI: 10.21608/apsj.2024.264434.1078
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Authors
Isabel Bada Bosch email orcid 1; Julio Arturo Cerdá Berrocal1; Manuel De La Torreorcid 1; César Sánchez Sánchezorcid 2; María del Mar Tolín Hernaniorcid 3; Carmen Miranda Cid3; Agustín Del Cañizo Lópezorcid 1; Esther Molina1; Juan Carlos De Agustín Asensioorcid 1
1Hospital Universitario Gregorio Marañón. Pediatric Surgery Department.
2Hospital Universitario Gregorio Marañón. Pediatric Gastroenterology, Hepatology and Nutrition Unit
3Hospital Universitario Gregorio Marañón. Pediatric Gastroenterology, Hepatology and Nutrition Unit.
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.
Keywords
Whipple procedure; cephalic duodenopancreatectomy; neonatal; pancreatic mass
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