Spontaneous rupture of a pancreatic pseudocyst into the portal vein

Procacci, Carlo; Mansueto, G.; Graziani, Rossella; Bicego, E.; Pederzoli, Paolo; Mainardi, Paride; Bergamo-Andreis, I A; Valdo, Moreno; Azzolini, Diana

doi:10.1007/bf00338309

Cited by 25 publications

(15 citation statements)

References 11 publications

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“…However, intrahepatic pseudocysts are rare, with few reports in the literature of rupture into the portal vein [1][2][3][4]. The pathogenesis of intrahepatic formation of the pseudocyst appears controversial.…”

Section: Discussionmentioning

confidence: 91%

Rupture of a pancreatic pseudocyst into the portal venous system

et al. 1999

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Section: Discussionmentioning

confidence: 91%

Rupture of a pancreatic pseudocyst into the portal venous system

et al. 1999

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“…Spontaneous rupture of a pancreatic pseudocyst occurs in less than 3% of affected patients and presents either as an acute abdominal event, or as pancreatic ascites or pleural effusion (7). However, rupture of a pseudocyst into the portal circulation is distinctly unusual, with only 23 cases published since its first description in 1966 (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27). In 17 cases, there was underlying chronic alcoholic pancreatitis, and in one patient, a pancreatic adenocarcinoma was identified at autopsy in addition to chronic pancreatitis (15).…”

Section: Discussionmentioning

confidence: 99%

Pancreaticoportal Fistula in Association with Antiphospholipid Syndrome Presenting as Ascites and Portal System Thrombosis

Chang

Francoeur

Schweiger

2002

Canadian Journal of Gastroenterology

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Fistulous communication between the pancreas and the portal venous system is extremely rare and is usually a complication of chronic pancreatitis or pancreatic pseudocysts. A patient who presented with abdominal pain and ascites secondary to a pancreaticoportal fistula and portal system thrombosis is described. The diagnosis was made by endoscopic retrograde cholangiopancreatography and confirmed by immediate postprocedure computed tomographic scanning. Laboratory studies identified concomitant antiphospholipid syndrome. The patient responded favourably to supportive medical therapy.

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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: 97%

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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Spontaneous rupture of a pancreatic pseudocyst into the portal vein

Abstract: Spontaneous rupture of a pancreatic pseudocyst into the portal vein is described. This has been previously reported in only five cases. Diagnosis was made by computed tomography (CT) and was confirmed by CT-guided transhepatic portography.

Cited by 25 publications

References 11 publications

Rupture of a pancreatic pseudocyst into the portal venous system

Rupture of a pancreatic pseudocyst into the portal venous system

Pancreaticoportal Fistula in Association with Antiphospholipid Syndrome Presenting as Ascites and Portal System Thrombosis

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

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