Pancreatic pseudocyst following enteric fever–associated acute pancreatitis in a child: successful ultrasound-guided percutaneous drainage

Abstract

Pancreatic involvement in enteric fever is uncommon and typically limited to transient enzyme elevation without clinical pancreatitis. We report a previously healthy 4-year-old girl with culture-proven enteric fever who developed acute pancreatitis followed by a large symptomatic pancreatic pseudocyst. Imaging confirmed a 9-cm anterior collection compressing adjacent structures. Given its size and symptoms, ultrasound-guided percutaneous drainage was performed, resulting in rapid clinical improvement and complete radiological resolution without recurrence at six months. This case highlights enteric fever as a rare cause of true pancreatitis and pseudocyst formation in children and demonstrates that minimally invasive image-guided drainage is a safe and effective management option when endoscopic access is limited.