González SCB, Vega LCA, Márquez AM

Language: Spanish
References: 5
Page: 283-286
PDF size: 340.61 Kb.

ABSTRACT

Background: Pancreatic pseudocysts are considered giant when the lesion measures more than 10 cm in diameter. The most frequent etiology is acute pancreatitis and exacerbations of chronic pancreatitis. Spontaneous remission occurs in 50% of cases. Treatment is indicated in persistent, symptomatic or complicated pseudocysts.
Clinical case: A 74-year-old male patient with a history of acute pancreatitis who 2 months after discharge presented involuntary weight loss of 12 kg, a palpable epigastric tumor that deformed the abdominal wall, early satiety, and pain. Computed tomography showed a pancreatic pseudocyst measuring 168 x 120 x 139 mm with an approximate volume of 1465 cc. It was managed endoscopically with intraluminal apposition prosthesis.
Conclusions: Treatment of giant pseudocyst of the pancreas endoscopically with ultrasound-guided intraluminal apposition prosthesis is a useful therapeutic resource, which is associated with better quality of life and mental state of the patient compared to surgical drainage.

REFERENCES

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