Non surgical management of pancreatic pseudocyst: two case reports and review of the literature.
We report two patients who had non-surgical management of Pancreatic Pseudocyst. The first patient presented with acute pancreatitis and intestinal obstruction, had laparatomy and found to have hemorrhagic pancreatitis and impacted gallstone in terminal item which was removed. Two weeks after laparatomy U/S and CT showed a dilated CBD and two Pancreatic Pseudocysts. ERCP showed dilated CBD. Endoscopic sphincterotomy and stent insertion in CBD and Cystoduodenostomy was done. A percutaneous drainage was done for the pseudocyst involving the body of the pancreas. The second patient presented abdominal pain and clinically had an abdominal mass which was shown by CT as Pseudopancreatic cyst. This was drained percutaneously and given treatment with somatostatin with good outcome.
Department of Gastroenterology, Armed Forces Hospital, Riyadh, Saudi Arabia.
M H
MH
Gali
M A
MA
al Karawi
A E
AE
Mohamed
B
B
Sammak
D000328:Adult; D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004322:Drainage; D016145:Endoscopy, Digestive System; D006727:Hormone Antagonists; D006801:Humans; D008297:Male; D010192:Pancreatic Pseudocyst / Q000000981:diagnostic imaging / Q000628:therapy*; D013004:Somatostatin; D014057:Tomography, X-Ray Computed
D006727:Hormone Antagonists; D013004:Somatostatin