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A giant pancreatic pseudocyst compressing stomach and duedonum : a case report

Year 2010, Volume: 32 Issue: 3, 356 - 359, 23.03.2010

Abstract

Abstract

Different strategies for pancreatic pseudocysts drainage are available: endoscopic drainage, percutaneous drainage, or open surgery. Pancreatic pseudocysts may be treated endoscopically by internal drainage to a neighboring adherent viscus such as stomach, duodenum or jejunum. We present a case with a large pseudocyst treated surgically. We hereby reported a case which a 62-year-old male patient who has giant pancreatic pseudocyst causing of gastric and duodenal compression. Surgical cystogastrostomy drainage was successfully performed, resulting in complete resolution of the giant pancreatic pseudocyst. We suggest that surgical cystogastrostomy for giant pseudocyst of the pancreas is safe, feasible and it brings out a good outcome.

Keywords: Pancreatic pseudocysts, gastric and duodenal compression, surgical cystogastrostomy

 

Özet

Pankreatik psödokistlerin drenajı için farklı stratejiler vardır: endoskopik drenaj, perkütan drenaj veya açık cerrahi. Pankreatik psödokistler mide, duodenum veya jejunum gibi komşu bitişik iç organlara internal drenaj yoluyla endoskopik olarak tedavi edilebilirler. Biz cerrahi olarak tedavi edilmiş büyük bir psödokist vakasını sunuyoruz. Biz burada, mide ve duodenuma bası yapan dev pankreatik psödokisti olan 62 yaşında bir erkek hastayı sunduk. Dev pankreatik psödokistin tam rezolüsyonuna yol açan cerrahi kistogastrostomi drenajı başarıyla kullanıldı. Pankreasın dev psödokisti için güvenli, uygulanabilir ve iyi bir netice elde edildiğinden dolayı cerrahi kistogastrostomi bu hastalarda önerilebilir.

 

Anahtar sözcükler: Psödokist, mide ve duodenuma bası, cerrahi kistogastrostomi

References

  • O'Malley VP, Cannon JP, Postier RG. Pancreatic pseudocysts: cause, therapy, and results. Am J Surg 1985; 150: 680-2.
  • Cheruvu CV, Clarke MG, Prentice M, Eyre-Brook IA. Conservative treatment as an option in the management of pancreatic pseudocyst. Ann R Coll Surg Engl 2003; 85: 313-6.
  • Habashi S, Draganov PV. Pancreatic pseudocyst. World J Gastroenterol 2009; 15: 38-47.
  • Maringhini A, Uomo G, Patti R, Rabitti P, Termini A, Cavallera A, Dardanoni G, Manes G, Ciambra M, Laccetti M, Biffarella P, Pagliaro L. Pseudocysts in acute nonalcoholic pancreatitis (incidence and natural history). Dig Dis Sci 1999; 44: 1669-73.
  • Kourtesis G, Wilson SE, Williams RA. The clinical significance of fluid collections in acute pancreatitis. Am Surg 1990;56:796-9.
  • Szentes MJ, Traverso LW, Kozarek RA, Freeny PC. Invasive treatment of pancreatic fluid collections with surgical and nonsurgical methods. Am J Surg 1991;161:600-5.
  • Golash V, Cutress R. Laparoscopic cystogastrostomy for a giant pseudocyst of pancreas. Surgeon. 2005; 3: 37-41.
  • Sheng QS, Chen DZ, Lang R, Jin ZK, Han DD, Li LX, Yang YJ, Li P, Pan F, Zhang D, Qu ZW, He Q. Laparoscopic cystogastrostomy for the treatment of pancreatic pseudocysts: a case report. World J Gastroenterol. 2008;14:4841-3.

Mide ve duodenuma bası yapan dev pankreatik psödokist: Bir olgu sunumu

Year 2010, Volume: 32 Issue: 3, 356 - 359, 23.03.2010

Abstract

Pankreatik psödokistlerin drenajı için farklı stratejiler vardır: endoskopik drenaj, perkütan drenaj veya açık cerrahi. Pankreatik psödokistler mide, duodenum veya jejunum gibi komşu bitişik iç organlara internal drenaj yoluyla endoskopik olarak tedavi edilebilirler. Biz cerrahi olarak tedavi edilmiş büyük bir psödokist vakasını sunuyoruz. Biz burada, mide ve duodenuma bası yapan dev pankreatik psödokisti olan 62 yaşında bir erkek hastayı sunduk. Dev pankreatik psödokistin tam rezolüsyonuna yol açan cerrahi kistogastrostomi drenajı başarıyla kullanıldı. Pankreasın dev psödokisti için güvenli, uygulanabilir ve iyi bir netice elde edildiğinden dolayı cerrahi kistogastrostomi bu hastalarda önerilebilir

References

  • O'Malley VP, Cannon JP, Postier RG. Pancreatic pseudocysts: cause, therapy, and results. Am J Surg 1985; 150: 680-2.
  • Cheruvu CV, Clarke MG, Prentice M, Eyre-Brook IA. Conservative treatment as an option in the management of pancreatic pseudocyst. Ann R Coll Surg Engl 2003; 85: 313-6.
  • Habashi S, Draganov PV. Pancreatic pseudocyst. World J Gastroenterol 2009; 15: 38-47.
  • Maringhini A, Uomo G, Patti R, Rabitti P, Termini A, Cavallera A, Dardanoni G, Manes G, Ciambra M, Laccetti M, Biffarella P, Pagliaro L. Pseudocysts in acute nonalcoholic pancreatitis (incidence and natural history). Dig Dis Sci 1999; 44: 1669-73.
  • Kourtesis G, Wilson SE, Williams RA. The clinical significance of fluid collections in acute pancreatitis. Am Surg 1990;56:796-9.
  • Szentes MJ, Traverso LW, Kozarek RA, Freeny PC. Invasive treatment of pancreatic fluid collections with surgical and nonsurgical methods. Am J Surg 1991;161:600-5.
  • Golash V, Cutress R. Laparoscopic cystogastrostomy for a giant pseudocyst of pancreas. Surgeon. 2005; 3: 37-41.
  • Sheng QS, Chen DZ, Lang R, Jin ZK, Han DD, Li LX, Yang YJ, Li P, Pan F, Zhang D, Qu ZW, He Q. Laparoscopic cystogastrostomy for the treatment of pancreatic pseudocysts: a case report. World J Gastroenterol. 2008;14:4841-3.
There are 8 citations in total.

Details

Primary Language English
Journal Section Case Reports
Authors

Hüseyin Göktürk

Kemal Aslan

Mehmet Demir

Mustafa Erbayrak

Vefa Öner

Osman Doğru

Publication Date March 23, 2010
Published in Issue Year 2010Volume: 32 Issue: 3

Cite

AMA Göktürk H, Aslan K, Demir M, Erbayrak M, Öner V, Doğru O. A giant pancreatic pseudocyst compressing stomach and duedonum : a case report. CMJ. September 2010;32(3):356-359.