Álvarez-Ibarra S, Padrón-Arredondo G

Language: Spanish
References: 15
Page: 32-36
PDF size: 398.54 Kb.

ABSTRACT

Background. Pseudocyst pancreas is a collection rich fluid adjacent to pancreatic amylase, coated by a non-epithelialized wall occurs because of acute pancreatitis, chronic pancreatitis, pancreatic trauma or blockage of the pancreatic duct, with an incidence ranging between 1.6 at 69%. Clinical case. 28 yearsold male, was admitted with abdominal pain, type sharp colicky epigastric and right upper quadrant three days duration, and is accompanied by nausea, no vomiting, fever, and malaise: destrostix 155 mg/dL. Physical examination: abdomen with increased volume level epigastric mass is felt at the level of the epigastric and right upper quadrant of 10 cm, soft, fixed to the deep, illdefined, painful on palpation and a half deep plane. Laboratories income: Hb 8.9 g/dL, hematocrit 30%, WBC in 12,900 x103/ mm3, glucose 173 mg/dL, normal rest. The TAC reports pseudo cyst body and tail of the pancreas 170 x 150 mm with wall thickened. Cistoyeyunoanastomosis was done in Roux and with good evolution and exit to the 6th day. Discussion. In the case of acute pancreatitis or localized fluid collection near the pancreas, it is presented without a wall of granulation and/or fibrous tissue. The development of a well-defined wall of fibrous or granulation tissue distinguishes a pseudocyst acute fluid collection. For the formation of a pseudocyst, it requires four or more weeks after its disease of pancreatitis.

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