Site of stent migration was CBD in 39(76.4%) patients, pancreas 9 (17.6%) and pancreatic pseudocyst
Management strategies for pancreatic pseudocysts
. Cochrane Database Syst Rev 2016;2016(4):CD011392.
Pancreatic fistulas can result from surgery for various indications, including pancreatic necrosis, pancreatic pseudocysts
, pancreatic masses (benign or malignant), chronic pancreatitis, trauma, or pancreatic ascites, and percutaneous interventions for fluid collections/pseudocysts (1-3).
Regarding local complications, APFC was observed in 66 (45.8%) patients, acute necrotic collections were observed in 13 (9%) patients, and pancreatic pseudocyst
was observed in 5 (3.5%) patients.
Microcystic serous cystadenoma of the pancreas with subtotal cystic degeneration: another neoplastic mimic of pancreatic pseudocyst
. Am J Surg Pathol.
Revised Atlanta Classification of pancreatic fluid classifications has been recently published and defines a pancreatic pseudocyst
as a fluid collection persisting greater than four weeks after a diagnosis of interstitial edematous pancreatitis.
Pregnancy, portal hypertension, cirrhosis, liver transplantation, hypertension, atherosclerosis, medial fibrodisplasia, splenomegaly, pancreatic pseudocyst
, and vascular collagen diseases are the risk factors for SAA development [1, 2, 4, 8].
We have noted in our series that mediastinal pseudocyst is invariably associated with peripancreatic pseudocyst and management directed towards the pancreatic pseudocyst
leads to resolution of mediastinal component.
Despite the overall success and application of endoscopic transmural techniques for pancreatic pseudocyst
drainage, initial reports listed evidence of pancreatic necrosis as a contraindication for endoscopic intervention [3, 4].
We herein present a case of a large subcapsular splenic hematoma with a large pancreatic pseudocyst
successfully treated with splenic arterial embolization and US-guided percutaneous drainage of pancreatic pseudocyst
, for the first time.
Morphological local complications of this type of severe AP include acute peripancreatic fluid collection and pancreatic pseudocyst
. Necrotizing pancreatitis occurs in approximately 5-10% patients, in either the parenchyma and/or peripancreatic tissues.
Differential diagnoses are numerous, including cystic lymphangioma, mucinous cystadenoma, cystic teratoma, cystic mesothelioma, mullerian cyst, epidermoid cyst, tailgut cyst, bronchogenic cyst, cystic changes in a solid neoplasm, pseudomyxoma retroperitoneal, perianal mucinous carcinoma, pancreatic pseudocyst
, lymphocele, urinoma, hematoma, cystadenoma of mesonephric origin, and cavernous hemangioma Dinesh .