1.A Case of Intrahepatic Pseudocyst Complicating Acute Pancreatitis.
Chae Yong YI ; Gyoung Jun NA ; Hyun Choul BAEK ; Jeong Hoon KIM ; Sang Hun BAE ; Dong Hyun KIM ; In Soo JE ; Byoung Pyo KWON
The Korean Journal of Gastroenterology 2008;51(1):56-59
Although most of pseudocysts as one of complications of pancreatitis occur primarily within the pancreas, the extrapancreatic locations of pseudocysts, especially in the liver, are rare events. With advanced technology of imaging studies including abdominal computed tomography, ultrasonography, and magnetic resonance imaging, their frequency seems to be increasing. We report here a case of left intrahepatic pancreatic pseudocyst following acute pancreatitis. Percutaneous puncture revealed a high level of amylase and lipase in the collection, confirming the diagnosis of intrahepatic pseudocyst. Symptomatic intrahepatic pseudocysts can be managed surgically, transcutaneously or endoscopically, and asymptomatic intrahepatic pseudocysts can be treated conservatively. We report this case with a review of literature.
Acute Disease
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Aged
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Humans
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Liver Diseases/*diagnosis/etiology/ultrasonography
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Magnetic Resonance Imaging
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Male
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Pancreatic Pseudocyst/*diagnosis/etiology/ultrasonography
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Pancreatitis, Alcoholic/complications/*diagnosis/ultrasonography
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Tomography, X-Ray Computed
2.A Case of Splenic Pseudocyst Complicated by Acute Pancreatitis.
Han Na LEE ; Tae Hee LEE ; Ki Hyun RYU ; Sung Min RIM ; In Beom JEONG ; Yong Seok KIM ; Young Woo CHOI ; Young Woo KANG
The Korean Journal of Gastroenterology 2012;59(2):193-196
Splenic pseudocyst is a rare disease associated with chronic and acute pancreatitis splenic pseudocyst is treated by distal pancreatectomy and splenectomy. A 47-year old woman with a 10-year history of alcohol abuse presented with epigastric and left upper quadrant pain of 3 days duration. Abdominal CT showed a 4.0x4.5 cm sized cystic lesion in the tail of the pancreas. Analgesics was administrated for the relief of abdominal pain. On the 4th hospital day, the patient complained more of left upper quadrant pain, so we took follow up CT scans. On follow up CT, one large splenic pseudocyst with size of 9.5x4.5x10.0 cm was noted. The patient was treated conservatively by percutaneous catheter drainage and discharged on the 13th hospital day. This case is the first case report of splenic pseudocyst treated conservatively, not by surgery in Korea.
Acute Disease
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Alcoholism/diagnosis
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Drainage
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Female
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Humans
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Middle Aged
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Pancreatic Pseudocyst/diagnosis
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Pancreatitis/*complications
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Splenic Diseases/etiology/*radiography/ultrasonography
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Tomography, X-Ray Computed
3.Clinical Features of Pseudoaneurysms Complicating Pancreatitis: Single Center Experience and Review of Korean Literature.
Ji Hyun KIM ; Jae Seon KIM ; Chang Duck KIM ; Hong Sik LEE ; Young Jig CHO ; Jong Sup LEE ; Do Won CHOI ; Woo Sik HAN ; Youn Ho KIM ; Jong Eun YEON ; Jong Jae PARK ; Kwan Soo BYUN ; Young Tae BAK
The Korean Journal of Gastroenterology 2007;50(2):108-115
BACKGROUND/AIMS: Pseudoaneurysm is a life-threatening complication of chronic or acute pancreatitis. This study was undertaken to evaluate the clinical features of pseudoaneurysm complicating pancreatitis. METHODS: We reviewed the medical records of 7 patients diagnosed as pseudoaneurysms with chronic pancreatitis in Korea University Guro and Anam Hospital from January 1995 to March 2006 and analyzed their demographics, clinical courses and outcomes. RESULTS: All patients were men and mean age was 54.6 years (range, 43-67 years). All the cases occurred in the setting of chronic alcoholic pancreatitis complicated by pseudocyst. Abdominal pain was the unique initial clinical symptom in 5 cases, hematemesis in 1 case, and simultaneous abdominal pain with hematemesis in 1 case. Bleeding into pseudocyst developed in 5 cases, flowing into duodenum through pancreatic duct in 1 case and rupture into the descending colon in 1 case. Mean duration between onset of symptom and diagnosis of pseudoaneurysm was 7.8 days (range, 1-23 days). Six cases were diagnosed by abdominal computed tomography disclosing characteristic finding of focal high density area in the pseudocyst. Pulsed doppler abdominal sonography was performed before computed tomography in 3 cases and results were negative in 2 cases. Transcatheter arterial embolizations were initially performed in 6 cases, and there was no recurrent bleeding except one case of splenic infarction. Distal pancreatectomy was initially performed in 1 case. CONCLUSIONS: Pseudoaneurysms complicating chronic pancreatitis shows various clinical features. Transcatheter arterial embolization can be recommended as a primary therapeutic modality.
Adult
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Aged
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Aneurysm, False/*diagnosis/etiology/ultrasonography
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Arteries/injuries
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Demography
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Embolization, Therapeutic
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Hemorrhage/etiology/surgery
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Humans
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Korea
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Male
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Middle Aged
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Pancreatic Pseudocyst/etiology/surgery
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Pancreatitis, Alcoholic/*complications/pathology
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Retrospective Studies
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Tomography, X-Ray Computed