Abstract
Pancreatic pseudocyst is usually treated by percutaneous external drainage, endoscopic internal or external drainage, or surgical internal drainage such as cystogastrostomy. Surgical external drainage is an option if these procedures fail. We describe a case of a 70-year-old man with a pancreatic body pseudocyst that developed postoperatively. It was improved by endoscopic external drainage, and the stent was changed to an internal stent. However, surgery was required as the pseudocyst grew again. A direct approach to the pseudocyst was not possible because of severe adhesion. A distal pancreatectomy with pancreaticojejunostomy was performed, and an external pancreatic stent tube was inserted from the cut end into the duodenum to drain the pseudocyst. One month later, the pseudocyst disappeared, and the stent was removed.
Highlights
Pancreatic pseudocyst (PPC) is associated with acute pancreatitis and chronic pancreatitis, and develops as a postoperative complication [1]
* Correspondence: hdobaba@kumamoto-u.ac.jp 1Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Kumamoto 860-8556, Japan Full list of author information is available at the end of the article
About 1 month after the operation, a PPC developed as a consequence of grade B postoperative pancreatic fistula (POPF) and acute pancreatitis (Fig. 1)
Summary
Pancreatic pseudocyst (PPC) is associated with acute pancreatitis and chronic pancreatitis, and develops as a postoperative complication [1]. It is usually treated by percutaneous or endoscopic drainage [4], surgery is necessary in some cases, which is associated with a relatively high percentage of complications and even death [5]. * Correspondence: hdobaba@kumamoto-u.ac.jp 1Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Kumamoto 860-8556, Japan Full list of author information is available at the end of the article About 1 month after the operation, a PPC developed as a consequence of grade B postoperative pancreatic fistula (POPF) and acute pancreatitis (Fig. 1).
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
