A rare case of pseudocyst in remnant pancreas after classical pancreaticoduodenectomy- treated by endoscopic drainage

Authors

  • Senthilkumar Perumal Department of Surgical Gastroenterology and Liver Transplantation, Government Stanley Medical College, Chennai, India
  • Jeswanth Sathyanesan Department of Surgical Gastroenterology and Liver Transplantation, Government Stanley Medical College, Chennai, India
  • Ravichandran Palaniappan Department of Surgical Gastroenterology and Liver Transplantation, Government Stanley Medical College, Chennai, India

DOI:

https://doi.org/10.18203/2349-2902.isj20171641

Keywords:

Pancreaticoduodenectomy, Pseudocysts, Remnant pancreas

Abstract

Pancreatic pseudocysts comprise more than 80 % of the cystic lesions of the pancreas. Here we report a 45-year-old female patient who developed a symptomatic pseudocyst in the remnant pancreas following classical pancreaticoduodenectomy for periampullary carcinoma. The pancreatic anastomosis was pancreaticogastrostomy- Dunking technique. She underwent endoscopic cystogastrostomy. Recurrence should always be ruled out before diagnosing pseudocyst in remnant pancreas following pancreaticoduodenectomy for malignant tumors.

Metrics

Metrics Loading ...

Author Biographies

Senthilkumar Perumal, Department of Surgical Gastroenterology and Liver Transplantation, Government Stanley Medical College, Chennai, India

Dr.Senthilkumar perumal

 

Senior assistant professor,

Institute of surgical gastroenterology & Liver transplantation,

Government Stanley medical college

Chennai,

India.

 

Jeswanth Sathyanesan, Department of Surgical Gastroenterology and Liver Transplantation, Government Stanley Medical College, Chennai, India

Professor,
Institute of surgical gastroenterology & Liver transplantation,
Government Stanley medical college
Chennai,
India.

Ravichandran Palaniappan, Department of Surgical Gastroenterology and Liver Transplantation, Government Stanley Medical College, Chennai, India

Professor, 
Institute of surgical gastroenterology & Liver transplantation, 
Government Stanley medical college 
Chennai,
India.

References

Kloppel G. Pseudocysts and other non-neoplastic cysts of the pancreas. Semin Diagn Pathol. 2000;17:7-15.

Breslin N, Wallace MB. Diagnosis and fine needle aspiration of pancreatic pseudocysts: the role of endoscopic ultrasound. Gastrointest Endosc Clin N Am. 2002;12:781-90.

Gudjousson B. Cancer of the pancreas: 50 years of surgery. Cancer. 1987;60:2284-303.

Fernandez-del Castillo C, Rattner DW, Warshaw AL. Standards for pancreatic resection in the 1990’s. Arch Surg. 1995;130:295-300.

Cameron JL, Pitt HA, Yeo CJ. One hundred and forty-five consecutive pancreaticoduodenectomies without mortality. Ann Surg. 1993;217:430-8.

D’Egidio A, Schein M. Pancreatic pseudocysts: a proposed classification and its management implications. Br J Surg. 1991;78:981-4.

Pitchumoni CS, Agarwal N. Pancreatic pseudocysts. When and how should drainage be performed? Gastroenterol Clin North Am. 1999;28:615-39.

Yeo CJ, Bastidas JA, Lynch-Nyhan A, Fishman EK, Zinner MJ, Cameron JL. The natural history of pancreatic pseudocysts documented by computed tomography. Surg Gynecol Obstet. 1990;170:411-7.

Vitas GJ, Sarr MG. Selected management of pancreatic pseudocysts: operative versus expectant management. Surgery. 1992;111:123- 30.

Kojima M, Yamaguchi K, Chijiiwa K, Tanaka M. A vanishing pseudocyst in the remnant pancreas after pylorus preserving pancreatoduodenectomy. J Gastroenterol. 2002;37(6):479-82.

Downloads

Published

2017-04-22

How to Cite

Perumal, S., Sathyanesan, J., & Palaniappan, R. (2017). A rare case of pseudocyst in remnant pancreas after classical pancreaticoduodenectomy- treated by endoscopic drainage. International Surgery Journal, 4(5), 1797–1798. https://doi.org/10.18203/2349-2902.isj20171641

Issue

Section

Case Reports