Abstract
Abstract. Introduction. Intramural pseudocysts, i. e., pseudocysts developing in the gastrointestinal wall are very rare. It is still uncertain how a pseudocyst forms in the gastrointestinal wall. They have been reported in the stomach, duodenum, and colon as isolated cases. Pancreatic pseudocyst is the most frequent complication of acute and chronic pancreatitis. Aim is to present our own clinical observation of diagnosis and treatment of intramural duodenal pseudocyst in a patient with acute pancreatitis. Material and methods. A 50-year-old patient was admitted to the Surgery Department 3 of Kazan City Clinical Hospital 7, complaining of fatigue, abdominal pain upper, nausea, repeated vomiting. During his hospital stay, laboratory and instrumental investigations and minimally invasive therapeutic manipulations were performed for the patient. This article provides details on his case history, clinical manifestations, and examination findings underlying the patient management and the minimally invasive diagnostic and therapeutic manipulations used. Results and Discussion. Comprehensive therapeutic and diagnostic procedures made it possible to detect an intramural duodenal pseudocyst, followed by ultrasound-controlled puncture and drainage. Conclusions. Clinical observation presented demonstrates high potential of radiological and other instrumental techniques to examine patients in order to diagnose various pathologic conditions of pancreas, especially intramural pseudocyst; a need for interaction between diagnostic and clinical services; high importance of continuity and timely using various instrumental diagnostic techniques, based on the clinical case; and the dependency of the efficiency of the treatment strategy chosen on interdisciplinary approach and system analysis of the changes identified.
Published Version
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