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Intrasplenic pancreatic pseudocyst: a case report.
N Ueda1, N Takahashi, H Yamasaki
1Department of Surgery, Kaga Central Hospital, Japan.
Gastroenterologia Japonica
|October 1, 1992
Summary
This case report details an intrasplenic pseudocyst linked to chronic pancreatitis. Surgical intervention is crucial for managing this rare pancreatic complication.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Chronic pancreatitis can lead to rare complications like pseudocysts.
- Intrasplenic pseudocysts are an uncommon manifestation, often associated with pancreatic duct disruption.
Observation:
- A 51-year-old woman presented with left flank and back pain.
- Imaging revealed communicating cysts in the pancreatic tail and spleen.
- Endoscopic retrograde cholangiopancreatography (ERCP) confirmed pancreatic duct communication.
Findings:
- Percutaneous cystography demonstrated a direct connection between the pancreatic pseudocyst, intrasplenic cyst, and pancreatic duct.
- Cyst fluid analysis showed high amylase levels (57,500 IU/L).
- Histopathology confirmed a non-epithelial lining and chronic inflammation.
Implications:
- This case highlights the importance of recognizing and surgically treating intrasplenic pseudocysts.
- Early surgical management can mitigate significant mortality and morbidity.
- Further research into the pathogenesis of these rare cysts is warranted.