Infeasibility of endoscopic transmural drainage due to pancreatic pseudocyst wall calcifications - case report

Polski przeglad chirurgiczny
Andrzej KrajewskiMaciej Słodkowski

Abstract

Postinflammatory pancreatic pseudocysts are one of the most common complications of acute pancreatitis. In most cases, pseudocysts self-absorb in the course of treatment of pancreatitis. In some patients, pancreatic pseudocysts are symptomatic and cause pain, problems with gastrointestinal transit, and other complications. In such cases, drainage or resection should be performed. Among the invasive methods, mini invasive procedures like endoscopic transmural drainage through the wall of the stomach or duodenum play an important role. For endoscopic transmural drainage, it is necessary that the cyst wall adheres to the stomach or duodenum, making a visible impression. We present a very rare case of infeasibility of endoscopic drainage of a postinflammatory pancreatic pseudocyst, impressing the stomach, due to cyst wall calcifications. A 55-year-old man after acute pancreatitis presented with a 1-year history of epigastric pain and was admitted due to a postinflammatory pseudocyst in the body and tail of pancreas. On admission, blood tests, including CA 19-9 and CEA, were normal. An ultrasound examination revealed a 100-mm pseudocyst in the tail of pancreas, which was confirmed on CT and EUS. Acoustic shadowing caused by cyst wal...Continue Reading

References

Aug 1, 1985·Australasian Radiology·R RowlandI B Faris
Jul 8, 2005·Journal of Clinical Gastroenterology·Christopher M Gibbs, Todd H Baron
Jun 13, 2008·Gastrointestinal Endoscopy·Shyam VaradarajuluJohn D Christein
Jan 1, 2014·Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation·Suman Kochhar

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Citations

Nov 17, 2019·Digestive Diseases and Sciences·M MinghettiV Tonini

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