title: [Pancreatic pseudocysts of the right hepatic lobe during acute biliary pancreatitis].
abstract: The occurrence of pancreatic pseudocysts of the right hepatic lobe during acute biliary pancreatitis is a rare event. We report the unusual case of a 69-year-old woman who was hospitalised for biliary pancreatitis. The patient suffered from right hypochondrial pain. A CT-scan performed at day 12 showed pancreatic pseudocysts in the right hepatic lobe. A favorable outcome was obtained after percutaneous drainage. Most hepatic pseudocysts are described in the left hepatic lobe after alcoholic pancreatitis. Different hypotheses have been suggested to explain the extension of pancreatic pseudocysts in the liver, due to proteolytic effect of pancreatic enzymes that reach the lesser sac and then the liver either directly through the liver capsule, or indirectly through the hepatic hilum vessels, or the hepatic ligament. We suggest another reason for hepatic invasion: pancreatic enzymes could also cause liver damage, through the para - renal anterior space, often infiltrated during acute pancreatitis, reaching right hepatic lobe through area nuda.
authors.affiliation: Service d'Hépato-Gastroentérologie, CHU Brabois, 54500 Vandoeuvre-les-Nancy, France.
authors.forename: David
authors.initials: D
authors.lastname: Ancel
authors.forename: Mathieu
authors.initials: M
authors.lastname: Lefebvre
authors.forename: Laurent
authors.initials: L
authors.lastname: Peyrin-Biroulet
authors.forename: Laurence
authors.initials: L
authors.lastname: Chone
authors.forename: Andréa
authors.initials: A
authors.lastname: Sido
authors.forename: Denis
authors.initials: D
authors.lastname: Regent
authors.forename: Marc-André
authors.initials: MA
authors.lastname: Bigard
mesh_terms: D000208:Acute Disease; D000368:Aged; D001653:Bile Ducts, Intrahepatic / Q000473:pathology; D004322:Drainage; D005260:Female; D006801:Humans; D010192:Pancreatic Pseudocyst / Q000209:etiology* / Q000473:pathology; D010195:Pancreatitis / Q000150:complications*