title: Pancreatic pseudocyst involving the spleen.
abstract: Pancreatic pseudocyst involving the spleen in a 52-year-old man is reported, with review of the literature. Physical examination and laboratory data revealed no specific abnormalities. A CT scan demonstrated multiple calcifications throughout the pancreas, with a cystic mass in the tail of the pancreas involving the spleen. Endoscopic retrograde cholangiopancreatography (ERCP) revealed a dilated main pancreatic duct with a direct communication to the cyst. Distal pancreatectomy with splenectomy was performed on a diagnosis of pancreatic pseudocyst. The 10 x 9.5 x 7 cm in size cyst had no epithelial lining on its wall. The amylase level in the cystic fluid was 23424 IU/l. The literature reveals that hemorrhagic complications are common and often serious. Timely surgical intervention is advocated to reduce mortality and morbidity from complications.
authors.affiliation: Department of Surgery, Saiseikai Matsusaka Hospital, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Yano
authors.forename: M
authors.initials: M
authors.lastname: Kaneda
authors.forename: T
authors.initials: T
authors.lastname: Yamamoto
authors.forename: T
authors.initials: T
authors.lastname: Suzuki
authors.forename: K
authors.initials: K
authors.lastname: Fujimori
authors.forename: H
authors.initials: H
authors.lastname: Itoh
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy; D010181:Pancreatic Cyst / Q000150:complications*; D010192:Pancreatic Pseudocyst / Q000150:complications* / Q000601:surgery; D013156:Splenectomy; D013158:Splenic Diseases / Q000209:etiology*