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Isr Med Assoc J 2021 Mar;23(3):180-185

Department of Pediatric and Adolescent Surgery, Schneider Children's Medical Center, Petah Tikva, Israel.

Background: Pancreatic trauma is uncommon in pediatric patients and presents diagnostic and therapeutic challenges. While non-operative management (NOM) of minor pancreatic injuries is well accepted, the management of major pancreatic injuries remains controversial.

Objectives: To evaluate management strategies for major blunt pancreatic injury in children. Read More

Acta Gastroenterol Belg 2021 Jan-Mar;84(1):143-144

Department of Internal Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.

Gastroenterology Res 2020 Dec 23;13(6):279-282. Epub 2020 Dec 23.

Division of Gastroenterology and Hepatology, Ascension St. John Hospital, Detroit, MI, USA.

Mesenteric cysts are a rare entity, with approximately 1,000 cases reported in the literature. Its etiology is unknown but was theorized to be a benign ectopic lymphatic proliferation in the mesentery. Imaging with surgical excision and pathologic microscopic evaluation is needed for diagnosis, but no specific guidelines for its management have been documented. Read More

Bull Emerg Trauma 2020 Oct;8(4):249-252

Department of Radiology, Selayang Hospital, 68100, Batu Caves, Selangor Darul Ehsan , Malaysia.

Pancreatic injury in paediatrics is a rare condition and can be difficult to diagnose. The diagnostic challenge is due to its symptom of vague abdominal pain which usually results in late presentation. Elevated biochemical markers such as amylase and lipase can aid in the evaluation of pancreatic injury, however, it is not specific and is only evident after several hours of trauma. Read More

World J Gastroenterol 2020 Dec;26(45):7104-7117

Gastrointestinal Endoscopy Unit, Department of Gastroenterology, Hospital das Clínicas, University of São Paulo, São Paulo 05403000, Brazil.

Pancreatic fluids collections are local complications related to acute or chronic pancreatitis and may require intervention when symptomatic and/or complicated. Within the last decade, endoscopic management of these collections endoscopic ultrasound-guided transmural drainage has become the gold standard treatment for encapsulated pancreatic collections with high clinical success and lower morbidity compared to traditional surgery and percutaneous drainage. Proper understanding of anatomic landmarks, including assessment of the main pancreatic duct and any associated lesions - such as disruptions and strictures - are key to achieving clinical success, reducing the need for reintervention or recurrence, especially in cases with suspected disconnected pancreatic duct syndrome. Read More

Ann Emerg Med 2021 01;77(1):e60-e61

Department of Emergency Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan; Department of Emergency Medicine, Chung Shan Medical University, Taichung, Taiwan.

Surg Endosc 2020 Dec 1. Epub 2020 Dec 1.

Department of Gastroenterology and Hepatology, Sahlgrenska University Hospital, Gothenburg, Sweden.

Background: Imaging modalities for characterizing pancreatic cystic lesions (PCLs) is a known uncertainty. The aim of this prospective study was to compare the diagnostic performance of endoscopic ultrasound morphology, cytology and cyst fluid carcinoembryonic antigen (EUS-FNA-CEA) with cross-sectional imaging in resected PCLs.

Methods: The cross-sectional imaging and EUS-FNA-CEA results were collected in an academic tertiary referral centre using histology of the surgical specimen as the diagnostic standard. Read More

Am J Med 2021 01 30;134(1):e46-e47. Epub 2020 Sep 30.

Department of Rheumatology, The Second Hospital of Dalian Medical University, No.467, Zhongshan Road, Shahekou District, Dalian, China. Electronic address:

Monogr Clin Cytol 2020 28;26:53-73. Epub 2020 Sep 28.

Office of Chief Medical Examiner, New York, New York, USA.

Inflammatory, developmental, and neoplastic lesions may all present as cystic masses on imaging. Pseudocyst is the most common of these and presents in association with a history of pancreatitis. Pancreatic cystic neoplasms are uncommon compared to solid neoplasms. Read More

Int J Surg Case Rep 2020 29;75:235-237. Epub 2020 Aug 29.

Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon. Electronic address:

Introduction: Soft tissue masses are fairly encountered clinical entities. Among the rare forms of soft tissues masses are non-pancreatic pseudocysts which are defined as encapsulated fluid collections not lined by epithelium. We are presenting a rare case of a pseudocyst of the back located within the paravertebral muscles at a tertiary care center. Read More

Clin Nucl Med 2021 Apr;46(4):e224-e225

From the Departments of Nuclear Medicine.

Abstract: We report the 18F-FDG PET/CT appearance of abdominal actinomycosis in a 48-year-old immunocompetent woman with a history of laparoscopic cystojejunostomy for pancreatic pseudocyst previously. 18F-FDG PET/CT demonstrated multiple hypermetabolism in the liver, spleen, cystojejunostomy anastomosis, greater omentum, and umbilical region. Actinomycosis was verified by biopsy. Read More

Eur J Radiol 2020 Oct 29;131:109250. Epub 2020 Aug 29.

Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA. Electronic address:

Purpose: To describe contrast-enhanced computed tomography (CECT), 18-Fluorine (F)-fluorodeoxyglucose (FDG) positron emission tomography (PET)/CT and magnetic resonance imaging (MRI) findings of immune checkpoint inhibitor (ICI) associated pancreatitis in patients undergoing immunotherapy for solid malignant tumours.

Method: In this retrospective study, 25 patients with clinical and/or biochemical evidence of pancreatitis who underwent CECT, MRI and F-FDG-PET/CT while being treated with ICIs were included. Imaging features of acute pancreatitis included: pancreatic enlargement, heterogeneous enhancement, peripancreatic stranding, fluid collection, pseudocyst, necrosis, atrophy and calcification. Read More

Pancreatology 2020 Oct 14;20(7):1281-1286. Epub 2020 Aug 14.

Gastroenterology and Hepatology Department, Digestive Disease Surgery Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.

Background: We sought to study the causative drugs, prevalence and outcomes of drug-induced acute pancreatitis (DIAP).

Methods: Retrospective study of DIAP patients at a tertiary teaching hospital. The diagnosis and severity of pancreatitis were determined based on the Revised Atlanta Classification. Read More

Endoscopy 2021 05 2;53(5):E199-E200. Epub 2020 Sep 2.

Division of Foregut and Bariatric Surgery, Geisinger Medical Center, Danville, Pennsylvania, United States.

Radiol Case Rep 2020 Oct 19;15(10):1939-1942. Epub 2020 Aug 19.

Department of Radiology, Mercy Catholic Medical Center, 1500 Lansdowne Ave, Darby, PA 19023, USA.

Pseudocyst formation is common in chronic pancreatitis. A rare subset of these patients may develop fistulization between the pseudocyst and the portal vein system. We report a case of spontaneous pancreatic pseudocyst - superior mesenteric vein fistula in a 61-year-old male with a history of chronic recurrent calcifying pancreatitis. Read More

Georgian Med News 2020 Jun(303):12-21

Tbilisi State Medical University, Department of Surgery №1, Georgia.

Acute pancreatitis (AP) is one of the most common acute surgical diseases of the abdominal organs. In 1992 at the International Symposium the classification of AP was established in Atlanta (USA). Over time new knowledge and experience required adjustment in the classification of Atlanta-92. Read More

Jpn J Radiol 2021 Feb 25;39(2):118-142. Epub 2020 Aug 25.

Department of Radiology, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan.

A variety of neoplastic and non-neoplastic lesions of the pancreas can present with a predominantly cystic architecture. These lesions are increasingly being detected as incidental findings on routine cross-sectional imaging following technological advances in these techniques and their widespread use. The different histopathological behaviors show various common and uncommon imaging findings, and some cases show similar appearance in spite of different histopathology. Read More

Arq Gastroenterol 2020 Jul-Sep;57(3):339-340

Hospital 9 de Julho, Departamento de Cirurgia, São Paulo, SP, Brasil.

Arq Gastroenterol 2020 Jul-Sep;57(3):333-334

Hospital 9 de Julho, Setor de Endoscopia, São Paulo, SP, Brasil.

PLoS One 2020 19;15(8):e0236817. Epub 2020 Aug 19.

Center for Pancreatic Care, Division of Gastroenterology, Kaiser Permanente Los Angeles Medical Center, Los Angeles, California, United States of America.

Study Aim: To develop and apply a natural language processing algorithm for characterization of patients diagnosed with chronic pancreatitis in a diverse integrated U.S. healthcare system. Read More

Pancreatology 2020 Sep 31;20(6):1035-1044. Epub 2020 Jul 31.

Department of Gastroenterology, Post Graduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh, 160012, India. Electronic address:

Disconnected Pancreatic Duct Syndrome (DPDS) is an important but often overlooked complication of acute necrotising pancreatitis (ANP) that occurs due to necrosis of the main pancreatic duct (PD). This segmental necrosis leads on to disconnection between the viable upstream pancreatic parenchyma and the duodenum. The disconnected and functional segment of pancreas continues to secrete pancreatic juice that is not drained into the gastrointestinal tract and lead on to recurrent pancreatic fluid collections (PFC), refractory external pancreatic flstulae and chronic abdominal pain/recurrent pancreatitis. Read More

Pancreatology 2020 Sep 22;20(6):1085-1091. Epub 2020 Jul 22.

Department of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, New Delhi, 110029, India. Electronic address:

Introduction: Vascular complications such as venous thrombosis (VT) and pseudoaneurysm are not uncommon in patients with chronic pancreatitis (CP). The aim of this study to was to evaluate the prevalence and risk factors for vascular complications in patients with CP.

Methods: A retrospective analysis of a prospectively maintained database of patients with CP presenting from January 2002 to August 2019 was performed. Read More

Medicine (Baltimore) 2020 Jul;99(30):e21354

Department of Radiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Auhui, China.

Introduction: Pancreatic pseudocyst is one of the most common cystic lesions. It always occurs following pancreatitis and is rarely found in combination with pancreatic adenocarcinoma. The coexistence of exocrine and neuroendocrine tumors of the pancreas is also infrequent. Read More

Korean J Radiol 2021 01 11;22(1):139-154. Epub 2020 Aug 11.

Department of Radiology, Chonnam National University Hospital, Gwangju, Korea.

Magnetic resonance imaging (MRI) has become a crucial tool for evaluating mediastinal masses considering that several lesions that appear indeterminate on computed tomography and radiography can be differentiated on MRI. Using a three-compartment model to localize the mass and employing a basic knowledge of MRI, radiologists can easily diagnose mediastinal masses. Here, we review the use of MRI in evaluating mediastinal masses and present the images of various mediastinal masses categorized using the International Thymic Malignancy Interest Group's three-compartment classification system. Read More

Clin Rheumatol 2021 Apr 10;40(4):1625-1633. Epub 2020 Aug 10.

Department of Gastro-Enterology, Sint-Trudoziekenhuis, Sint-Truiden, Belgium.

A 42-year-old Caucasian female presented with lower limb panniculitis and bilateral ankle arthritis in the absence of abdominal or other localizing symptoms. Abdominal imaging revealed subacute pancreatitis with pseudocyst formation. The clinical manifestations were compatible with pancreatitis, panniculitis, and polyarthritis syndrome (PPP syndrome), a very rare complication of pancreatic disease. Read More

Abdom Radiol (NY) 2021 02 17;46(2):757-767. Epub 2020 Jul 17.

, Dover, USA.

Purpose: To assess technical and clinical outcomes following lumen-apposing covered self-expanding metallic stent (LAMS) placement for symptomatic pancreatic fluid collections (PFC) with CT and MRI.

Methods: In this retrospective study, patients with PFC who underwent LAMS placement between March 2015 and June 2018 were included. Primary outcomes included technical success, defined as successful stent placement with resolution of PFC, and clinical success, defined as lack of fluid recurrence after stent removal. Read More

J Clin Imaging Sci 2020 25;10:31. Epub 2020 May 25.

Departments of Radiology, Tripler Army Medical Center, 1 Jarrett White Rd., Honolulu, Hawaii, United States.

Pancreaticobiliary maljunction (PBM) is the congenital junction of the bile and pancreatic ducts into a common channel located anatomically outside of the duodenal wall. The complex type (Type D) is the rarest type and occurs in conjunction with other pancreaticobiliary anomalies. We present a case of complex PBM with pancreas divisum presenting as acute pancreatitis and obstructive symptoms secondary to a pancreatic pseudocyst. Read More

Int J Surg Case Rep 2020 9;72:178-182. Epub 2020 Jun 9.

Department of Surgery, Kanto Rosai Hospital, 1-1 Kizukisumiyoshicho, Nakahara-ku, Kanagawa, 211-8510, Japan. Electronic address:

Background: Adrenal pseudocysts are infrequent entities and definite preoperative diagnosis is difficult. We present a case of left adrenal pseudocyst, which was intraoperatively identified as having an adrenal origin and was resected using a laparoscopic approach.

Presentation Of Case: A 41-year-old female was referred to our hospital for examination and treatment of a cystic lesion in the pancreatic tail. Read More

Curr Gastroenterol Rep 2020 Jun 4;22(7):34. Epub 2020 Jun 4.

Department of Digestive Diseases, Emory University School of Medicine, Atlanta, GA, USA.

Purpose Of Review: The purpose of this review is to discuss the role of endoscopic ultrasound (EUS) in the diagnosis and treatment of chronic pancreatitis (CP).

Recent Findings: EUS has evolved and become invaluable in diagnosing early CP with the use of elastography and contrast enhancement. Lumen-apposing metal stents have allowed for easier transmural drainage and necrosectomy for pancreatic pseudocyst and walled of necrosis. Read More

J Clin Imaging Sci 2020 16;10:28. Epub 2020 May 16.

Biostatistics, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.

Objectives: The aim of the study was to evaluate the accuracy of computed tomography/magnetic resonance imaging (CT/MRI) in characterizing cystic lesions of the pancreas and in differentiating between benign and malignant/potentially malignant lesions.

Material And Methods: A retrospective study was performed on patients with pancreatic cystic lesions who underwent pre-operative imaging and surgery between October 2004 and April 2017 at a tertiary care teaching hospital. The images were reviewed for specific characteristics and diagnoses recorded independently by two radiologists who were blinded to the histopathological examination (HPE) report. Read More