title: Pancreatic pseudocyst with pancreatolithiasis and intracystic hemorrhage treated with distal pancreatectomy: a case report.
abstract: BACKGROUND
  Hemorrhage from pancreatic pseudocyst is one of the serious complications of chronic pancreatitis. We experienced intracystic hemorrhage from a huge pancreatic pseudocyst and successfully treated it with distal pancreatectomy.
  
  
  METHODS
  A 65-year-old-man with a history of alcohol abuse was admitted to our hospital for abdominal pain and was diagnosed as having chronic pancreatitis with pancreatolithiasis and pseudocyst in the pancreatic tail. The pancreatic pseudocyst increased in size gradually for 4 month observation period. For intracystic hemorrhage we performed an urgent distal pancreatectomy with splenectomy. Postoperative course was good and the elevated serum amylase level decreased to the normal range.
  
  
  CONCLUSIONS
  Prolonged observation resulted in intracystic hemorrhage. Drainage or surgery in adequate time is important for the management of pancreatic pseudocysts to prevent complications.
authors.affiliation: Department of Surgery, Shizuoka City Shizuoka Hospital, 10-93 Ohtemachi Aoi-ku, Shizuoka 420-8630, Japan. qqhxh715@ybb.ne.jp
authors.forename: Masato
authors.initials: M
authors.lastname: Maeda
authors.forename: Ryota
authors.initials: R
authors.lastname: Nomura
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Moriki
authors.forename: Tadashi
authors.initials: T
authors.lastname: Miyashita