First report of treatment with pancreas-sparing duodenectomy in a child with primary intestinal lymphangiectasia

Abstract

Pancreas-sparing duodenectomy (PSD) is a known surgical technique used in patients with duodenal pathologies in the adult age group. We present a 3-year-old female patient with intestinal lymphangiectasia who underwent PSD. This is the first case in which this surgical technique was used in childhood. We believe that PSD can be used in the pediatric age group for benign pathologies. Introducing a stent to the common bile duct and the main pancreatic duct is not a requirement, especially if the ampulla is preserved as a “button” duodenal patch.

Keywords

• children
• duodenum
• intestinal lymphangiectasia
• pancreas-sparing duodenectomy