An unusual complication of chronic pancreatitis: a recanalized portal tree communicating with a pancreatic pseudocyst.
A patient with chronic pancreatitis was admitted for digestive bleeding from esophageal varices. Portal thrombosis and cavernomatous periportal collateral circulation were found at laparotomy. The partially recanalized portal tree was excluded from the portal circulation and filled with pancreatic juice due to a communication with a pancreatic pseudocyst. Splenectomy, partial left pancreatectomy, Roux en Y pancreatico-cysto-jejunostomy, and external drainage of the portal tree were performed. The postoperative course was uneventful and the patient is symptom-free and doing well 2 yr after surgery.
D000328:Adult; D002908:Chronic Disease; D003097:Collateral Circulation; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D008297:Male; D010181:Pancreatic Cyst / Q000150:complications*; D010192:Pancreatic Pseudocyst / Q000150:complications* / Q000000981:diagnostic imaging; D010195:Pancreatitis / Q000150:complications*; D011168:Portal System / Q000503:physiopathology*; D011169:Portal Vein; D011859:Radiography; D013927:Thrombosis / Q000150:complications*