A RARE CASE OF SPONTANEOUS CYSTOGASTROSTOMY IN A PSEUDOCYST OF PANCREAS

Abstract

BACKGROUND: Pancreatic pseudocysts (PPs), common sequelae of acute or chronic pancreatitis and trauma, are uid collections arising in or adjacent to the pancreas enclosed by a wall of brous granulation tissue, but lacking a true epithelial lining. It is the most common complication of pancreatitis. Hence, accurate diagnosis and timely management is important. Spontaneous resolution occurs in more than 80% cases. In case of persistence or specic indications, endoscopic intervention and surgical management is considered. Spontaneous rupture is a very rare and serious complication of pseudocyst of pancreas and should be managed carefully whenever encountered as it can cause severe peritonitis and requires emergent surgical exploration. We describe a case of a 42-year-old, alcoholic male patient who came to casualty with complaints of pain over abdomen since 4 days and was diagnosed with acute on chronic pancreatitis with pseudocyst of pancreas who developed spontaneous rupture of pseudocyst into body of stomach and was managed conservatively. Spontaneous resolution of pancreatic pseudocyst have been reported with acute gastrointestinal bleed, extension into the biliary tree and pelvicalceal system. Spontaneous rupture of pseudocyst into the body of stomach is very rare that can be managed conservatively, which avoids surgical intervention and hence decrease in mortality rate among these patients.