Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2014
Massive pancreatic pseudocyst with portal vein fistula: case report and proposed treatment algorithm.
Клинический случайСтатьяОбзорНазвание и аннотация: Перевод пока не подготовлен
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Ng Thomas S C, Rochefort Holly, Czaplicki Christopher, Teixeira Pedro, Zheng Lin, Matsuoka Lea, Van Dam Jacques, Alexopoulos Sophoclis P
Аннотация
Pancreatic pseudocyst is a relatively common occurrence resulting from acute or chronic pancreatitis. However, a rare subset of these patients present with a pseudocyst fistulizing into the portal vein. We present the case of a 58 year-old woman with a rapidly expanding pancreatic pseudocyst with portal venous fistulization causing portal vein thrombosis, in addition to biliary and duodenal obstruction. The patient underwent surgical decompression with a cyst-gastrostomy and was well until one week post-operatively when she experienced massive gastrointestinal hemorrhage leading to her death. A review of the literature is presented and a treatment algorithm to manage patients with pancreatic pseudocyst to portal vein fistula is proposed.