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[Pancreatic pseudocysts and fistulas]
Abstract:
The authors present false pancreatic cysts and fistulae that have been encountered inthe practice of the I-st Clinic of Surgery from Tg-Mureş over a period of 10 years (between 1964 ans 1979). The author's personal cases are presented and the rarity of this type of disturbances is stressed. A total of 14 cases are described, of which 8 were false pancreatic cysts and 6 were false pancreatic fistulae. The major complications that occurred in the cases with false pancreatic cysts the most severe was the intra-cyst haemorrhage, that was encountered in 2 patients (of which one developed severe shock), and peritonitis, following rupture of the cyst in the peritoneal cavity. The 6 pancreatic fistulae have developed following surgery (3 cases), trauma (one case), and acute pancreatitis (2 cases). The treatment of the false cysts consisted in the external drainage (two emergencies), and cyst-gastrectomy. Pancreatic fistulae have benefited from fistulo-gastrostomy (two cases), while the remaining 4 patients were treated conservatively. Only one death was recorded in this group of patients.
Insights
This study reviews 14 rare cases of pancreatic pseudocysts and fistulas over 10 years. Management strategies varied, with low mortality, highlighting effective interventions for these complex pancreatic conditions.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Surgery
Context:
- False pancreatic cysts and fistulae are rare but serious complications.
- This study analyzes cases from a single surgical clinic over a decade.
Purpose:
- To present and analyze a series of rare cases of false pancreatic cysts and fistulae.
- To discuss the complications, treatment, and outcomes of these pancreatic pathologies.
Summary:
- The study details 14 cases: 8 false pancreatic cysts and 6 false pancreatic fistulae.
- Complications included intra-cyst hemorrhage and peritonitis for cysts; fistulae arose post-surgery, trauma, or pancreatitis.
- Treatments ranged from external drainage and cyst-gastrectomy for cysts to fistulo-gastrostomy and conservative management for fistulae.
Impact:
- Highlights the rarity and management challenges of pancreatic pseudocysts and fistulae.
- Provides insights into surgical and conservative treatment outcomes for these pancreatic conditions.
- Contributes to understanding the clinical course and management of rare pancreatic fluid collections and leaks.