Pancreatic tail pseudocyst associated with spontaneous resolution of intrasplenic pancreatic pseudocyst.
A 27-year-old man, an alcohol abuser, had alcoholic pancreatitis complicated by a 3.2 cm pancreatic tail speudocyst and intrasplenic pseudocysts presenting with left upper quadrant pain of one-month duration. Surgical resection or percutaneous drainage of the cystic lesions of the pancreas and the spleen was refused. Analgesic agents were given for relief of abdominal pain. Three months later, another episode of alcoholic pancreatitis occurred. A computed axial tomographic scans of the abdomen showed diffuse enlargement of the pancreas with a 3.0-cm pseudocyst in the pancreatic tail, but there was no evidence of previous intrasplenic pseudocysts. The patient was treated conservatively and was discharged on the 7th hospital day. There was no recurrence of abdominal pain after 3 months follow-up.
Fung
Hon-Yin
HY
Department of Medicine, Kuo General Hospital, Taiwan, ROC.
Chiu
Hsin-Hui
HH
Li
Joe Hergens
JH
Huang
Cheng-Chiang
CC
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D003560:Cysts / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D010192:Pancreatic Pseudocyst / Q000150:complications* / Q000000981:diagnostic imaging; D019512:Pancreatitis, Alcoholic / Q000150:complications*; D012075:Remission, Spontaneous; D013158:Splenic Diseases / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed