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.


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+
30+ Million Readerbase
Recommended Conferences
Flyer image
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