Intrahepatic pancreatic pseudocyst.
Intrahepatic pancreatic pseudocyst is an extremely rare complication of acute pancreatitis. Herein, we report the case of a 37-year old diabetic male who presented with mild pancreatitis as predicted by modified Glasgow criteria. Abdominal CT scan showed a left hepatic subcapsular cyst of 9x4 cm that progressively increased in size. CT guided aspiration of the cyst yielded 90 ml of yellow brown fluid with a high amylase concentration. Bacterial culture of the fluid was negative. The patient dramatically improved after aspiration; 3 months later the patient was asymptomatic and follow-up abdominal ultrasound has shown complete resolution of the cyst.
Al-Ani
Reyadh
R
Ramadan
Khalil
K
Abu-Zidan
Fikri M
FM
D000208:Acute Disease; D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000175:diagnosis; D005500:Follow-Up Studies; D006801:Humans; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D010192:Pancreatic Pseudocyst / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D010195:Pancreatitis / Q000150:complications* / Q000175:diagnosis; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D013396:Suction / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome