An unusual presentation of a giant pancreatic pseudocyst extending through the lateral abdominothoracic wall into the subcutaneous plane

Authors

  • Daniel Page Department of General Surgery, Hervey Bay Hospital, Queensland http://orcid.org/0000-0001-8401-0844
  • Suresh Munugani Department of General Surgery, Hervey Bay Hospital, Queensland, Australia

DOI:

https://doi.org/10.18203/2349-2902.isj20204988

Keywords:

Pancreatitis, Pseudocyst, Subcutaneous extension, Giant pseudocyst

Abstract

Pancreatic pseudocysts are a common complication of pancreatitis affecting up to 40% of chronic cases. Typically, they are located within or abutting the pancreas and are self-limiting with the majority been smaller than 6cm, asymptomatic and resolving with conservative management. Here we present an unusual multiloculated giant pancreatic pseudocyst that originated at the pancreatic tail and extended through the lateral thoracoabdominal walls into the subcutaneous plane in a male with chronic alcohol pancreatitis. A literature search revealed no previous documented cases of this specific complication.

Author Biography

Daniel Page, Department of General Surgery, Hervey Bay Hospital, Queensland

Surgical PHO, Hervey Bay Hospital, Queensland Health

References

Samuerlson AL, Shah RJ. Endoscopic management of pancreatic pseudocysts. Gastroenterol Clin North Am. 2012;41(1):47-62

Habashi S, Draganov PV. Pancreatic pseudocyst. World J Gastroenterol. 2009;15(1):38-47.

Annangi S, Singh T, Maskey A, Gaurav K. Intrathoracic Extension of Pancreatic Pseudo Cyst: A Rare Cause of Hemoptysis. Chest. 2019;156(4):886.

Cierra C. Smith, DO, Alexander W. Smith, DO, Jay Anderson, DO. Mediastinal Pancreatic pseudocyst with expansion into bilateral pleural spaces. Am J Gastroenterol. 2019;114:S703-4

Fitchett JM, Beaumont A, Davies IL, Lewis MH. An extreme presentation of pancreatic pseudocyst. Ann R Coll Surg Engl. 2010;92(1):e21-3.

Lerch MM, Stier A, Wahnschaffe U, Mayerle J. Pancreatic pseudocysts: observation, endoscopic drainage, or resection? Deutsches Arzteblatt Int. 2009;106(38):614-21.

Udeshika WAE, Herath HM, Dassanayake SUB, Pahalagamage SP, Kulatunga A. A case report of giant pancreatic pseudocyst following acute pancreatitis: experience with endoscopic internal drainage. Brit Med Centr Res Notes. 2018;11:262.

Samuerlson AL, Shah RJ. Endoscopic management of pancreatic pseudocysts. Gastroenterol Clin North Am. 2012;41(1):47-62.

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Published

2020-11-27

Issue

Section

Case Reports