title: Spontaneous Rupture of Pancreatic Pseudocyst: Report of Two Cases.
abstract: Introduction. Pancreatic pseudocysts are a common complication of acute pancreatitis. Pancreatic pseudocyst's natural history ranges between its spontaneous regression and the settlement of serious complications if untreated, such as splenic complications, hemorrhage, infection, biliary complications, portal hypertension, and rupture. The rupture of a pancreatic pseudocyst to the peritoneal cavity is a dangerous complication leading to severe peritonitis and septic conditions. It requires emergent surgical exploration that is often of great technical difficulty and with important morbidity and mortality. Case Study. We present two cases of spontaneous rupture of pancreatic pseudocysts, managed differently according to the local and systemic conditions. Conclusion. The best surgical choice is the internal drainage of the cyst to the GI tract; however, in some conditions, the external drainage is the only choice available.
authors.affiliation: Surgery Department, Cirurgia B, Hospital Prof. Dr. Fernando Fonseca, 2720-276 Amadora, Portugal.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Rocha
authors.affiliation: Surgery Department, Cirurgia B, Hospital Prof. Dr. Fernando Fonseca, 2720-276 Amadora, Portugal.
authors.forename: Rui
authors.initials: R
authors.lastname: Marinho
authors.affiliation: Surgery Department, Cirurgia B, Hospital Prof. Dr. Fernando Fonseca, 2720-276 Amadora, Portugal.
authors.forename: António
authors.initials: A
authors.lastname: Gomes
authors.affiliation: Surgery Department, Cirurgia B, Hospital Prof. Dr. Fernando Fonseca, 2720-276 Amadora, Portugal.
authors.forename: Marta
authors.initials: M
authors.lastname: Sousa
authors.affiliation: Surgery Department, Cirurgia B, Hospital Prof. Dr. Fernando Fonseca, 2720-276 Amadora, Portugal.
authors.forename: Nuno
authors.initials: N
authors.lastname: Pignatelli
authors.affiliation: Surgery Department, Cirurgia B, Hospital Prof. Dr. Fernando Fonseca, 2720-276 Amadora, Portugal.
authors.forename: Carla
authors.initials: C
authors.lastname: Carneiro
authors.affiliation: Surgery Department, Cirurgia B, Hospital Prof. Dr. Fernando Fonseca, 2720-276 Amadora, Portugal.
authors.forename: Vitor
authors.initials: V
authors.lastname: Nunes