Intrahepatic Pancreatic Pseudocyst Complicated by Pancreatitis: A Case Report.
10.4166/kjg.2017.70.4.202
- Author:
Hee Joon KIM
1
;
Chung Hwan JUN
;
Chang Hwan PARK
;
Chol Kyoon CHO
Author Information
1. Department of Surgery and Division of Gastroenterology, Chonnam National University Medical School, Gwangju, Korea. ckcho@jnu.ac.kr
- Publication Type:Case Report
- Keywords:
Pancreatitis;
Intrahepatic pseudocyst;
Hepatectomy
- MeSH:
Abdominal Pain;
Aged;
Amylases;
Endoscopy;
Female;
Hepatectomy;
Humans;
Liver;
Pancreas;
Pancreatic Pseudocyst*;
Pancreatitis*;
Peritoneal Cavity;
Peritonitis
- From:The Korean Journal of Gastroenterology
2017;70(4):202-207
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pancreatic pseudocyst is a common complication of acute pancreatitis. Pseudocysts are commonly observed in the lesser sac and retroperitoneum; they are rarely seen in the liver. Herein, we report a case of intrahepatic pseudocyst, complicated by asymptomatic groove pancreatitis, that has successfully been treated with hepatic resection. A 70-year-old woman was referred to our hospital with severe upper abdominal pain. Abdominal computed tomography scan showed 11×10 cm sized cystic lesion in the left lateral section of the liver. Appearance of the pancreas was relatively normal. Endoscopic aspiration revealed a high level of amylase in the cystic fluid. After endoscopy, signs of peritonitis were observed; then, a left hemihepatectomy was performed. Pathologic examination revealed an intrahepatic pancreatic pseudocyst. The presence of intrahepatic cystic lesion in patients with suspected pancreatitis should raise the suspicion of intrahepatic pseudocyst. Intrahepatic pancreatic pseudocysts may be the only clinical manifestation even without an episode of acute pancreatitis.
