A Case of Ruptured Pancreatic Pseudocyst Which Had Emergency Surgery

Sekino, Seishiro; Kokubo, Kentaro; Sakamoto, Kenichi

doi:10.3919/jjsa.70.2481

Cited by 3 publications

(1 citation statement)

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“…In the case of pancreatic pseudocyst rupture, one should treat not only bleeding but also infection and secondary damage due to intraperitoneal exposure of pancreatic juice. Because the life-saving rate by conservative medical management is particularly low, surgical, radiological, or endoscopic intervention are required [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Pancreatic Pseudocyst Ruptured due to Acute Intracystic Hemorrhage

Okamura

Ohara

Kaneko

et al. 2017

Case Rep Gastroenterol

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Rupture of pancreatic pseudocyst is one of the rare complications and usually results in high mortality. The present case was a rupture of pancreatic pseudocyst that could be treated by surgical intervention. A 74-year-old man developed abdominal pain, vomiting, and diarrhea, and he was diagnosed with cholecystitis and pneumonia. Three days later, acute pancreatitis occurred and computed tomography (CT) showed slight hemorrhage in the cyst of the pancreatic tail. After another 10 days, CT showed pancreatic cyst ruptured due to intracystic hemorrhage. Endoscopic retrograde cholangiopancreatography revealed leakage of contrast agent from pancreatic tail cyst to enclosed abdominal cavity. His left hypochondrial pain was increasing, and CT showed rupture of the cyst of the pancreatic tail into the peritoneal cavity was increased in 10 days. CT showed also two left renal tumors. Therefore we performed distal pancreatectomy with concomitant resection of transverse colon and left kidney. We histopathologically diagnosed pancreatic pseudocyst ruptured due to intracystic hemorrhage and renal cell carcinoma. Despite postoperative paralytic ileus and fluid collection at pancreatic stump, they improved by conservative management and he could be discharged on postoperative day 29. He has achieved relapse-free survival for 6 months postoperatively. The mortality of pancreatic pseudocyst rupture is very high if some effective medical interventions cannot be performed. It should be necessary to plan appropriate treatment strategy depending on each patient.

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Section: Introductionmentioning

confidence: 99%