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 |
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| container_title | Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] |
| container_volume | 15 |
| creator | Ng, Thomas S.C Rochefort, Holly Czaplicki, Christopher Teixeira, Pedro Zheng, Lin Matsuoka, Lea Van Dam, Jacques Alexopoulos, Sophoclis P |
| description | 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. |
| doi_str_mv | 10.1016/j.pan.2014.11.005 |
| format | Article |
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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.</description><identifier>ISSN: 1424-3903</identifier><identifier>EISSN: 1424-3911</identifier><identifier>DOI: 10.1016/j.pan.2014.11.005</identifier><identifier>PMID: 25500342</identifier><language>eng</language><publisher>Switzerland: Elsevier B.V</publisher><subject>Abdomen ; Algorithms ; Cyst gastrostomy ; Cysts ; Endocrinology & Metabolism ; Fatal Outcome ; Female ; Fistula ; Gastroenterology and Hepatology ; Gastrointestinal Hemorrhage - etiology ; Hemorrhage ; Humans ; Medical imaging ; Middle Aged ; Mortality ; NMR ; Nuclear magnetic resonance ; Pancreas ; Pancreatic Fistula - etiology ; Pancreatic Fistula - surgery ; Pancreatic pseudocyst ; Pancreatic Pseudocyst - complications ; Pancreatic Pseudocyst - surgery ; Pancreatitis ; Portal Vein ; Portal vein thrombosis ; Vascular Fistula - etiology ; Vascular Fistula - surgery</subject><ispartof>Pancreatology : official journal of the International Association of Pancreatology (IAP) ... 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All rights reserved.</rights><rights>Copyright Elsevier Limited Jan/Feb 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c469t-17b3c92c95e79a5e97005c5282e23ed194f296b8158fb9c0b774cec348a3aef73</citedby><cites>FETCH-LOGICAL-c469t-17b3c92c95e79a5e97005c5282e23ed194f296b8158fb9c0b774cec348a3aef73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25500342$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ng, Thomas S.C</creatorcontrib><creatorcontrib>Rochefort, Holly</creatorcontrib><creatorcontrib>Czaplicki, Christopher</creatorcontrib><creatorcontrib>Teixeira, Pedro</creatorcontrib><creatorcontrib>Zheng, Lin</creatorcontrib><creatorcontrib>Matsuoka, Lea</creatorcontrib><creatorcontrib>Van Dam, Jacques</creatorcontrib><creatorcontrib>Alexopoulos, Sophoclis P</creatorcontrib><title>Massive pancreatic pseudocyst with portal vein fistula: Case report and proposed treatment algorithm</title><title>Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]</title><addtitle>Pancreatology</addtitle><description>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.</description><subject>Abdomen</subject><subject>Algorithms</subject><subject>Cyst gastrostomy</subject><subject>Cysts</subject><subject>Endocrinology & Metabolism</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Fistula</subject><subject>Gastroenterology and Hepatology</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Pancreas</subject><subject>Pancreatic Fistula - etiology</subject><subject>Pancreatic Fistula - surgery</subject><subject>Pancreatic pseudocyst</subject><subject>Pancreatic Pseudocyst - complications</subject><subject>Pancreatic Pseudocyst - surgery</subject><subject>Pancreatitis</subject><subject>Portal Vein</subject><subject>Portal vein thrombosis</subject><subject>Vascular Fistula - etiology</subject><subject>Vascular Fistula - surgery</subject><issn>1424-3903</issn><issn>1424-3911</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kkuLFTEQhYM4OA_9AW4k4MbNbVN5dHcUBLk4jjDiQl2HdLpac-2XSfrK_femveMMzGJWCclXh1OnipDnwApgUL7eFbMdC85AFgAFY-oROQPJ5UZogMe3dyZOyXmMO8Y4B9BPyClXijEh-RlpP9sY_R5pVnIBbfKOzhGXdnKHmOgfn37SeQrJ9nSPfqSdj2np7Ru6tRFpwPWP2rGlc5jmKWJL06oy4Jif-x9TyALDU3LS2T7is5vzgny__PBte7W5_vLx0_b99cbJUqcNVI1wmjutsNJWoa5yS07xmiMX2IKWHddlU4Oqu0Y71lSVdOiErK2w2FXigrw66mYzvxeMyQw-Oux7O-K0RAOl4lLyismMvryH7qYljNndP6rUquR1puBIuTDFGLAzc_CDDQcDzKwjMDuTgzPrCAyAyX5zzYsb5aUZsL2t-J95Bt4eAcxR7D0GE53H0WHrA7pk2sk_KP_uXrXr_eid7X_hAeNdFyZyw8zXdQfWFQDJgPGyFH8Bs92r1g</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Ng, Thomas S.C</creator><creator>Rochefort, Holly</creator><creator>Czaplicki, Christopher</creator><creator>Teixeira, Pedro</creator><creator>Zheng, Lin</creator><creator>Matsuoka, Lea</creator><creator>Van Dam, Jacques</creator><creator>Alexopoulos, Sophoclis P</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20150101</creationdate><title>Massive pancreatic pseudocyst with portal vein fistula: Case report and proposed treatment algorithm</title><author>Ng, Thomas S.C ; 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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.</abstract><cop>Switzerland</cop><pub>Elsevier B.V</pub><pmid>25500342</pmid><doi>10.1016/j.pan.2014.11.005</doi><tpages>6</tpages></addata></record> |
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| ispartof | Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.], 2015-01, Vol.15 (1), p.88-93 |
| issn | 1424-3903 1424-3911 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Abdomen Algorithms Cyst gastrostomy Cysts Endocrinology & Metabolism Fatal Outcome Female Fistula Gastroenterology and Hepatology Gastrointestinal Hemorrhage - etiology Hemorrhage Humans Medical imaging Middle Aged Mortality NMR Nuclear magnetic resonance Pancreas Pancreatic Fistula - etiology Pancreatic Fistula - surgery Pancreatic pseudocyst Pancreatic Pseudocyst - complications Pancreatic Pseudocyst - surgery Pancreatitis Portal Vein Portal vein thrombosis Vascular Fistula - etiology Vascular Fistula - surgery |
| title | Massive pancreatic pseudocyst with portal vein fistula: Case report and proposed treatment algorithm |
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