Rupture of a pancreatic pseudocyst into the portal venous system

Yamamoto, Toru; Hayakawa, Katsumi; Kawakami, Satoshi; Nishimura, K; Katsuma, Yoshinori; Hayashi, Nobushige; Maeda, Masaki; Ishii, Yasushi

doi:10.1007/s002619900547

Cited by 26 publications

(8 citation statements)

References 5 publications

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“…1,2 In particular, pancreatitis is known to cause portal vein thrombosis. 1 Yamamoto et al 15 reported occlusion of the portal vein due to rupture of a pancreatitisassociated pancreatic pseudocyst into the portal vein. 15 In our case, prior to the development of pylethrombophlebitis, the patient had undergone pancreaticojejunostomy with internal anastomosis of the jejunum and a pancreatic cyst, which was close to the portal vein.…”

Section: Discussionmentioning

confidence: 98%

“…1 Yamamoto et al 15 reported occlusion of the portal vein due to rupture of a pancreatitisassociated pancreatic pseudocyst into the portal vein. 15 In our case, prior to the development of pylethrombophlebitis, the patient had undergone pancreaticojejunostomy with internal anastomosis of the jejunum and a pancreatic cyst, which was close to the portal vein. We assessed the lipase concentration in the drained fl uid and compared it with the serum lipase concentration; lipase activity was slightly higher in the drained fl uid than in the serum (150 vs. 69 U/l).…”

Section: Discussionmentioning

confidence: 98%

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Percutaneous drainage for suppurative pylethrombophlebitis developing in a patient with chronic pancreatitis

et al. 2007

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Suppurative pylethrombophlebitis is an extremely rare disease with high mortality. It is difficult to diagnose this disease because its nonspecific clinical features are unfamiliar to physicians. A 64-year-old Asian man, who had undergone a longitudinal pancreaticojejunostomy for alcoholic chronic pancreatitis 7 years before, had right upper abdominal pain and high fever. Abdominal sonography and contrast-enhanced abdominal computed tomography detected thrombus and fluid collection in the portal vein. After a percutaneous needle puncture, the patient was diagnosed as having suppurative pylethrombophlebitis and treated with only drainage and antibiotics; no operation was required. This case suggests that minimally invasive percutaneous needle puncture of the intrahepatic portal vein may be an accurate procedure for the appropriate diagnosis and treatment of suppurative pylethrombophlebitis.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 98%

Percutaneous drainage for suppurative pylethrombophlebitis developing in a patient with chronic pancreatitis

et al. 2007

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“…Development of this venous complication is distinctly unusual. In fact, only a few cases have been reported in the literature [96,97]. Diagnostic confirmation of the fistula cannot be achieved by angiography because the portal tree is excluded from the systemic circulation because of its cystic transformation.…”

Section: Diagnosis and Management Of Venous Complicationsmentioning

confidence: 96%

Non-traumatic abdominal emergencies: imaging and intervention in acute pancreatic conditions

et al. 2002

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Pancreatic emergency, unrelated to traumatic events, can occur as a consequence of the more significant pancreatic pathologies (acute and chronic pancreatitis, tumors) or of the interventional or surgical treatment carried out as therapy for the above-mentioned lesions. Acute pancreatic conditions are represented by pancreatic infections, the involvement of organs, structures, and adjacent spaces within the pancreatic disease, and, lastly, vascular complications. Acute pancreatic conditions are common in pancreatic diseases and can be catastrophic; even if there is a gamut in the severity of clinical presentation, each can be potentially life threatening. Immediate radiological detection of the lesions together with a correct therapeutic percutaneous radiological approach whenever an interventional procedure is preferable to surgery or, when performed before surgery, whenever it can optimize its results, is of fundamental importance in the management of these patients. This article focuses on the essential role of radiology and the integration of imaging and intervention in acute pancreatic conditions.

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“…Emergent surgical exploration is usually required. While an internal drainage should always be aimed for, usually a thorough abdominal lavage and external drainage are all that can be achieved safely [43, 44]. …”

Section: Complicationsmentioning

confidence: 99%

Pancreatic Pseudocyst: Therapeutic Dilemma

Khanna

Tiwary

Kumar

2012

International Journal of Inflammation

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Pancreatic pseudocyst develops in both acute and chronic pancreatitis. It is an entity likely to either remain asymptomatic or develop devastating complications. Despite being diagnosed easily, treatment exercise is still at crossroads whether in the form of internal or external drainage or endoscopic, laparoscopic, or open intervention with a good radiological guidance. The therapeutic dilemma whether to treat a patient with a pancreatic pseudocyst, as well as when and with what technique, is a difficult one. This paper is intended to get information about diagnostic and therapeutic exercises most appropriate for acute and chronic pancreatic pseudocyst.

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Rupture of a pancreatic pseudocyst into the portal venous system

Abstract: Pseudocyst formation is a well-known complication of acute or chronic pancreatitis. We report a case in which pseudocyst ruptured into the splenic and portal veins.

Cited by 26 publications

References 5 publications

Percutaneous drainage for suppurative pylethrombophlebitis developing in a patient with chronic pancreatitis

Percutaneous drainage for suppurative pylethrombophlebitis developing in a patient with chronic pancreatitis

Non-traumatic abdominal emergencies: imaging and intervention in acute pancreatic conditions

Pancreatic Pseudocyst: Therapeutic Dilemma

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