Massive pancreatic pseudocyst with portal vein fistula: Case report and proposed treatment algorithm

Abstract Pancreatic pseudocyst is a relatively common occurrence resulting from acute or chronic pancreatitis. However, a rare subset of these patients present with a pseudocyst fistulizing into the portal vein. We present the case of a 58 year-old woman with a rapidly expanding pancreatic pseudocys...

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Veröffentlicht in:Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] 2015-01, Vol.15 (1), p.88-93
Hauptverfasser: Ng, Thomas S.C, Rochefort, Holly, Czaplicki, Christopher, Teixeira, Pedro, Zheng, Lin, Matsuoka, Lea, Van Dam, Jacques, Alexopoulos, Sophoclis P
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Sprache:eng
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Zusammenfassung:Abstract Pancreatic pseudocyst is a relatively common occurrence resulting from acute or chronic pancreatitis. However, a rare subset of these patients present with a pseudocyst fistulizing into the portal vein. We present the case of a 58 year-old woman with a rapidly expanding pancreatic pseudocyst with portal venous fistulization causing portal vein thrombosis, in addition to biliary and duodenal obstruction. The patient underwent surgical decompression with a cyst-gastrostomy and was well until one week post-operatively when she experienced massive gastrointestinal hemorrhage leading to her death. A review of the literature is presented and a treatment algorithm to manage patients with pancreatic pseudocyst to portal vein fistula is proposed.
ISSN:1424-3903
1424-3911
DOI:10.1016/j.pan.2014.11.005