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2001, Number 4

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Rev Hosp M Gea Glz 2001; 4 (4)

Pseudocyst origin.A case report

Alfaro MCG, Rico GGA, Carrillo C M, Hayakawa DVC, Bautista AMA, Palacios RJA
Full text How to cite this article

Language: Spanish
References: 6
Page: 110-111
PDF size: 119.23 Kb.


Key words:

Pseudocysts, pancreatitis, endoscopic retrograde cholangiopancreatography (ERCP).

ABSTRACT

Introduction: Pancreatic pseudocysts are collections with no defined epithelial walls, derived from the rupture of the pancreatic conduct. Most of these lesion will resolve themselves spontaneously; diagnosis becomes evident once complications begin to show (infection, haemorrhage, laceration and/or obstruction).
Case: Female 27 years old with a background of cholelithiasis. Symptoms begin two days before with epigastric pain, vomit and dehydration.
Labs: Hyperbilirrubinemia, elevation of lipase and amylase 3 times over expected levels. She is admitted for treatment of acute pancreatitis and choledocholithiasis. During endoscopic retrograde cholangiopancreatography (ERCP) we observed a rupture of pancreatic conduct, which is rarely identified at the beginning of the disease, corroborating it radiologically.



REFERENCES

  1. Abram M. Cooperman: The pancreas revisted 1: diagnosis, chronic pancreatitis. Surgical Clinics of North America 2001; 81: 2 April.

  2. Bradley El. A clinically base classification system for acute pancreatitis. Arch Surg 1998; 128: 586-590.

  3. D’egidio A, Schein M. Pancreatic pseudocysts: a proposed classification and its management implications. Br J Surg 1992; 78: 981-984.

  4. Pitchumoni CS, Agarwal N. Pancreatic pseudocysts: when and how should drainage be performed. Gastroenterol Clin North Am 1999; 28: 615-639.

  5. Richer HM. Natural history of pancreatic pseudocysts. In: Howard J et al. (Ed): surgical diseases of the pancreas. Baltimore, William’s & Wilkins, 1998: 417-421.

  6. Smits ME, Rauws EAJ, Tytgat GNT et al. The efficacy of endoscopic treatment of pancreatic pseudocysts. Gastrointest Endosc 1995; 42: 202-207.




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Rev Hosp M Gea Glz. 2001;4