title: Ruptured pseudocyst of pancreas presenting with paraplegia: a case report.
abstract: BACKGROUND
  Acute pancreatitis is recognised to cause both local and extra pancreatic systemic complications. Sequelae like pseudocyst of the pancreas can further be complicated by infection, intracystic haemorrhage and rupture with high mortality and morbidity. Extra pancreatic manifestations include alterations in blood coagulation factors and pro-thrombotic tendencies.
  
  
  METHODS
  We report an atypical presentation of intracystic haemorrhage and rupture of a pancreatic pseudocyst into the peritoneal cavity, presenting with acute onset paraplegia.
  
  
  CONCLUSIONS
  Considering the serious consequences of this pathology, high index of suspicion, early identification and management of pancreatic pseudocyst is paramount in reducing morbidity and mortality.
authors.affiliation: Department of Surgery, Good Hope Hospital, Sutton Coldfield, Birmingham B75 7RR, UK.
authors.forename: Soni
authors.initials: S
authors.lastname: Soumian
authors.forename: Natarajan
authors.initials: N
authors.lastname: Manimaran
authors.forename: Bruce
authors.initials: B
authors.lastname: Jones