All submissions of the EM system will be redirected to Online Manuscript Submission System. Authors are requested to submit articles directly to Online Manuscript Submission System of respective journal.

Abstract

Infected Pancreatic Pseudocyst Ruptured into Stomach and Colon Associated with Splenic Artery Pseudoaneurysm

Context Pancreatic pseudocysts, which are known to be a common complication of chronic pancreatitis, occasionally result in spontaneous intestinal perforation. However, multiple perforations of pancreatic pseudocysts into internal organs are rarely seen. Case report A 46-yearold man was admitted to our hospital complaining of left upper abdominal pain, where a palpable mass was found. Abdominal computed tomography scan showed a large pancreatic pseudocyst in the tail of the pancreas and a splenic artery pseudoaneurysm. The pseudoaneurysm was treated by urgent percutaneous transarterial embolization. Endoscopic examinations revealed fistulas that had ruptured into the stomach and transverse colon. The patient had a high fever with prolonged elevated C-reactive protein. Contaminated fluid/debris was eliminated from the infected pseudocyst cavity under colonoscopy and ileostomy, followed by spontaneous closure of the fistulas. Conclusion This is a rare patient of a ruptured pancreatic pseudocyst in the stomach and colon, complicated by a splenic artery pseudoaneurysm.


Author(s):

Hiroshi Ohkawara, Akiko Shichishima-Nakamura, Kazuhiko Ikeda, Masumi Sukegawa, Miki Furukawa, Takahiro Sano, Koki Ueda, Satoshi Kimura, Akiomi Yoshihisa, Hideyoshi Noji, Kazuei Ogawa,Yasuchika Takeishi



Abstract | Full-Text | PDF

Share this  Facebook  Twitter  LinkedIn  Google+

Abstracted/Indexed in

  • Index Copernicus
  • Academic Journals Database
  • Genamics JournalSeek
  • Academic Keys
  • China National Knowledge Infrastructure (CNKI)
  • CiteFactor
  • Scimago
  • British Library
  • Electronic Journals Library
  • Directory of Research Journal Indexing (DRJI)
  • WorldCat
  • Emerging Sources Citation Index (ESCI)
  • EBSCO Host
  • MIAR
  • International Committee of Medical Journal Editors (ICMJE)
  • University of Zurich - UZH
  • University Grants Commission
  • SWB Online-Katalog
  • Scholarsteer
  • Geneva Foundation for Medical Education and Research
  • Secret Search Engine Labs
Flyer image