Highlights
Idiopathic giant pancreatic pseudocyst (IGPP) is a rare pancreatic disease.
Diagnosis of IGPP in emergency [
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] is a challenge because of its rarity, the absence of history of pancreatitis and specific symptoms and signs.
IGPP may cause intestinal obstruction, intra-abdominal hypertension and abdominal compartment syndrome requiring a decompressive laparotomy.
Distal pancreaticosplenectomy may be the correct treatment of undiagnosed IGPP if there is suspicion or inability to exclude a malignant cystic pancreatic neoplasm.
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