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Targeting Cysteine Thiols for in Vitro Site-specific Glycosylation of Recombinant Proteins

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A wayward cyst.

Antwan Atia¹, Sumit Kalra, Mailien Rogers

¹Department of Internal Medicine, James H Quillen VA Medical Center, East Tennessee State University, Johnson City, Mountain Home, TN, USA. antwan.atia@yahoo.com

JOP : Journal of the Pancreas

|July 8, 2009

Summary

This summary is machine-generated.

Intrahepatic pancreatic pseudocysts, rare liver cysts linked to pancreatitis, require consideration in diagnosis. This case highlights successful percutaneous drainage for a patient with chronic pancreatitis.

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Area of Science:

Gastroenterology
Hepatology
Radiology

Background:

Pancreatic pseudocysts are common complications of acute and chronic pancreatitis.
While typically intra-abdominal, pseudocysts can occur ectopically, including rare intrahepatic locations.
Diagnosis of intrahepatic pseudocysts involves high amylase levels in cystic fluid, excluding infection or neoplasm.

Observation:

A 60-year-old male with chronic pancreatitis presented with symptoms of acute exacerbation.
Abdominal CT revealed a pancreatic pseudocyst and a cystic liver lesion.
CT-guided aspiration of the liver cyst showed markedly elevated amylase levels (>20,000 U/L).

Findings:

The intrahepatic cystic lesion was confirmed as a pancreatic pseudocyst.
Percutaneous drainage of the pseudocyst led to complete resolution.
This case demonstrates a rare presentation of pancreatic pseudocyst within the liver.

Implications:

Intrahepatic pancreatic pseudocysts should be included in the differential diagnosis for cystic liver lesions, especially in patients with pancreatitis history.
Percutaneous drainage is an effective treatment modality for intrahepatic pancreatic pseudocysts.
This case expands the understanding of pseudocyst localization and management.