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SA J Radiol 2022 9;26(1):2385. Epub 2022 May 9.

Department of Radiodiagnosis, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India.

Pancreatic pseudocyst is a common complication that can occur following acute or chronic pancreatitis. Commonly, they are peripancreatic in location. Rarely, they can extend to the mediastinum, and further extension to the neck is even rarer. Read More

Aust J Rural Health 2022 May 31. Epub 2022 May 31.

Department of General Surgery, Dubbo Base Hospital, Dubbo, NSW, Australia.

J Pak Med Assoc 2022 Apr;72(4):752-754

Department of General Surgery, Brighton and Sussex University Hospital, Brighton, UK.

Splanchnic vein thromboses are well recognized vascular complications of acute as well as chronic pancreatitis. Extra splanchnic thromboses have rarely been reported. One such case of a 41-year-old Pakistani male patient who developed acute alcoholic pancreatitis is presented. Read More

Bratisl Lek Listy 2022 ;123(5):357-361

Pseudoaneurysm of the splenic vein is a rare entity which is associated with pancreatitis in 52 % cases. Pseudocysts of the pancreas create approximately 70 % of all cystic lesions of the pancreas. One of the most dangerous complications of pancreatic pseudocysts is bleeding into the cystic lumen. Read More

J Vet Intern Med 2022 May 23;36(3):919-926. Epub 2022 Mar 23.

Department of Veterinary Clinical Science and Services, Royal Veterinary College, University of London, Hertfordshire, United Kingdom.

Background: Limited data exist on the diagnosis and successful medical management of suspected pancreatic abscessation, and the appropriate terminology of this condition.

Hypothesis/objectives: To describe the diagnosis and management of pancreatic fluid accumulations in dogs where pancreatic fluid cytology results were available, to describe those medically and surgically managed at the same institution, and reconsider the terminology describing acute pancreatitis with pancreatic fluid accumulation.

Animals: Fifteen dogs treated for suspected pancreatic abscessation at a university teaching hospital between January 2010 and March 2020. Read More

Can Assoc Radiol J 2022 Mar 13:8465371221077650. Epub 2022 Mar 13.

Mallinckrodt Institute of Radiology, 116142Washington University School of Medicine, St Louis, MO, USA.

Trauma is an important cause of mortality, particularly in the young. While computed tomography (CT) is the mainstay of body imaging in the setting of trauma, magnetic resonance (MR) imaging can be useful in stable patients. Although more commonly used in spinal and musculoskeletal trauma, MR also has a role in abdominopelvic trauma. Read More

Nihon Shokakibyo Gakkai Zasshi 2022 ;119(3):267-272

Department of Internal Medicine, Fujinomiya City General Hospital.

A 62-year-old male patient was referred to our hospital for jaundice and bloody feces. He had hyper-IgG4-emia. Computed tomography (CT) showed diffuse pancreatic enlargement, pancreatic pseudocyst, and hematoma of the splenic flexure of the colon. Read More

BMJ Case Rep 2022 Mar 2;15(3). Epub 2022 Mar 2.

Internal Medicine, University of Miami Health System, Miami, Florida, USA.

Pancreatic-portal vein fistula, portal vein thrombosis and liver abscesses are rare complications of acute pancreatitis which occur in the setting of localised inflammation of the pancreatic tissues and surrounding structures. We discuss a 34-year-old woman with a medical history of intermittently controlled HIV and alcohol use disorder who presents with severe epigastric pain diagnosed with acute pancreatitis. Concerning CT findings showing hypoattenuating liver lesions likely to be abscesses and multiple pancreatic pseudocysts led us to order an MRI which showed thrombosis of the portal vein, porto-pancreatic pseudocyst fistulation and cirrhotic changes. Read More

BMJ Case Rep 2022 Mar 2;15(3). Epub 2022 Mar 2.

Gastroenterology Department, Hospital da Senhora da Oliveira, Guimaraes, Portugal.

Cureus 2022 Jan 19;14(1):e21433. Epub 2022 Jan 19.

Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, IND.

Pancreatic pseudocyst is a usual complication of chronic pancreatitis. Diagnosis is usually established with the help of cross-sectional imaging. Typical presenting complaints are abdominal pain and vomiting. Read More

Pancreas 2022 01;51(1):e7-e8

BMC Surg 2022 Feb 16;22(1):58. Epub 2022 Feb 16.

Department of General Surgery, Shahid Beheshti Hospital, Yasuj University of Medical Sciences, Yasuj, Iran.

Background: Retroperitoneal non-pancreatic or idiopathic pseudocysts are very rare lesions. This case report aimed to present our patient and to check all the available literature on this kind of rare disease.

Case Presentation: Our patient was a 67-year-old Iranian man admitted with mild abdominal discomfort for three months. Read More

Cureus 2022 Jan 9;14(1):e21056. Epub 2022 Jan 9.

Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.

Pancreatic lesions are more commonly identified nowadays with the widespread use of imaging investigations. Pancreatic lesions are heterogeneous groups of pathologies with different behavior and prognosis. It is quite difficult to differentiate these lesions because of the shared clinical manifestation and the overlapping imaging features of these lesions. Read More

Turk J Surg 2021 Sep 28;37(3):286-293. Epub 2021 Sep 28.

Division of Surgical Gastroenterology, King George's Medical University, Lucknow, India.

Objectives: Pancreas is a less commonly injured organ in blunt abdominal trauma. This study aimed to analyze the management and outcomes of patients in whom the pancreatic injury was missed during the initial evaluation of blunt abdominal trauma.

Material And Methods: We retrospectively (2009-2019) analyzed the details and outcome of patients who underwent conservative management of blunt abdominal trauma, where the diagnosis of pancreatic injury was missed for at least 72 hours following trauma. Read More

Radiol Case Rep 2022 Mar 23;17(3):1013-1020. Epub 2022 Jan 23.

Department of Radiology, Robert Larner M.D. College of Medicine, University of Vermont Medical Center, 111 Colchester Ave, Burlington, VT 05401, USA.

Pancreatic pseudocyst formation, arterial pseudoaneurysm, and splanchnic vein thrombosis are complications of chronic pancreatitis that account for significant morbidity and mortality in this patient population. While the short-term utility of timely endovascular intervention for treating the vascular complications of chronic pancreatitis have been relatively well documented, there is a paucity of longitudinal follow-up in this patient population, therefore making it difficult to predict the long-term efficacy of these interventions. This report details a case of a gastroduodenal artery pseudoaneurysm embolization followed by symptomatic superior mesenteric vein chronic thrombosis treated by stent dilatation in a patient with chronic pancreatitis, with 7 years clinical and imaging follow-up. Read More

Surg Case Rep 2022 Jan 22;8(1):18. Epub 2022 Jan 22.

Division of Hepatobiliary and Pancreas Surgery, Department of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi-Shinbashi, Minato-ku, Tokyo, 105-8461, Japan.

Background: Acute pancreatitis could be an early symptom of pancreatic cancer. However, repeated pancreatitis caused by pancreatic cancer is very rare.

Case Presentation: A 69-year-old man was referred to our hospital with severe abdominal pain, and serial imaging studies showed acute distally localized pancreatitis with a pseudocyst. Read More

ACG Case Rep J 2022 Jan 10;9(1):e00739. Epub 2022 Jan 10.

Department of Radiology, University of Louisville, Louisville, KY.

Hemosuccus pancreaticus is a life-threatening but rare cause of intermittent upper gastrointestinal bleeding caused by acute/subacute hemorrhage into a pancreatic duct or pancreatic pseudocyst because of a ruptured pseudoaneurysm. This entity is described in patients with pseudoaneurysms that develop in the context of severe pancreatic/peripancreatic inflammatory changes. Hemosuccus pancreaticus presents a difficult diagnostic and therapeutic conundrum because it tends to involve inflamed, friable, and tortuous vascular pathways. Read More

Am J Case Rep 2022 Jan 14;23:e934247. Epub 2022 Jan 14.

Department of Internal Medicine, St. Mary's Hospital, Waterbury, CT, USA.

BACKGROUND Pancreaticopleural fistula (PPF) is a rare complication of acute and chronic pancreatitis. PPF results from the release of pancreatic enzymes, either from a damaged pancreatic duct or pancreatic pseudocyst. This report is of a 58-year-old woman with a history of chronic pancreatitis associated with gallstones who had a known pancreatic pseudocyst that was being managed conservatively and who presented to the Emergency Department with pleural effusion due to a PPF. Read More

Clin J Gastroenterol 2022 Jun 7;15(3):662-667. Epub 2022 Jan 7.

Department of Surgery, Hiroshima City Asa Citizens Hospital, 2-1-1, Kabeminami, Asakita-ku, Hiroshima, 731-0293, Japan.

We here report a case of pancreatic duct rupture associated with high-grade pancreatic intraepithelial neoplasia treated by radical resection. A 71-year-old man presented to our hospital because of abdominal bloating. Diagnoses of early-stage pancreatic body cancer with pancreatic duct rupture, pancreatic ascites, and formation of a pseudocyst were made on the basis of blood tests, multidetector dynamic computed tomography, endoscopic ultrasonography, magnetic resonance cholangiopancreatography, and endoscopic retrograde cholangiopancreatography. Read More

J Laparoendosc Adv Surg Tech A 2022 Mar 28;32(3):315-319. Epub 2021 Dec 28.

Department of Surgery, Washington DC VA Medical Center, Washington, District of Columbia, USA.

Management of symptomatic pancreatic pseudocysts poses a unique challenge to minimally invasive surgeons. Despite the predominance of endoscopic management of pancreatic pseudocysts, the laparoscopic approach remains a critical skill in the armamentarium of surgeons. This report details a laparoscopic intragastric approach to create a pancreatic cystgastrostomy using intraoperative ultrasound and endoscopy. Read More

Cureus 2021 Nov 10;13(11):e19452. Epub 2021 Nov 10.

General Surgery, All India Institute of Medical Sciences, Raipur, IND.

Lymphangiomas are uncommon benign malformations that can occur anywhere in the body. These are hamartomatous malformations with lymphatic differentiation, which uncommonly involve the abdomen and rarely the pancreas. The size of the cysts in pancreatic lymphangioma directly correlates with the clinical manifestations; however, most of them are non-specific. Read More

Case Rep Radiol 2021 30;2021:1919550. Epub 2021 Nov 30.

Wexner Medical Center, Department of Radiology, The Ohio State University, 395 W 12 Ave, Columbus, OH 43210, USA.

Pancreatic pseudocysts are a common complication of pancreatitis. However, mediastinal extension of a pseudocyst is rare and often presents with atypical symptoms. We present a case of mediastinal extension of a pancreatic pseudocyst in a 56-year-old woman with a history of alcohol-related chronic pancreatitis, who presented with acute on chronic epigastric abdominal pain and atypical chest pain. Read More

Rev Col Bras Cir 2021 22;48:e20213009. Epub 2021 Nov 22.

- Universidade Federal do Rio Grande do Norte (UFRN), Unidade de Diagnóstico por Imagem e Métodos Gráficos do Hospital Universitário Onofre Lopes - Natal - RN - Brasil.

Objective: to describe the implications of the diagnosis and treatment of non-inflammatory pancreatic cysts in a series of patients.

Methods: we included patients with pancreatic cysts ≥1.0 cm, excluding those with a presumptive diagnosis of a pseudocyst. Read More

Gastroenterology 2022 02 19;162(2):379-384. Epub 2021 Oct 19.

Department of General and Pancreatic Surgery, Verona Hospital Trust, University of Verona, Verona, Italy.

Eur Rev Med Pharmacol Sci 2021 Oct;25(19):5972-5977

UOC di Gastroenterologia, Dipartimento di Scienze Mediche e Chirurgiche, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Objective: Parathyroid carcinoma is a rare etiology of primary hyperparathyroidism (PHPT) and subsequent hypercalcemia. Among clinical manifestations of hypercalcemia, acute pancreatitis is very uncommon. Nevertheless, acute pancreatitis may be an initial clinical manifestation of parathyroid cancer. Read More

Eur J Radiol 2021 Nov 28;144:109978. Epub 2021 Sep 28.

Department of Diagnostic & Interventional Radiology of New Hospitals LTD, Tbilisi, Georgia; Department of Radiology, Tbilisi State Medical University (TSMU), Tbilisi, Georgia. Electronic address:

Purpose: The main goal of this systematic review was to assess the technical and clinical success, adverse events (AEs), surgery, and overall mortality proportion after percutaneous catheter drainage (PCD) of two pancreatic lesions.

Methods: An extant search in online databases including Scopus, PubMed (Medline), Embase (Elsevier), Web of Science, Cochrane library, and Google Scholar, was conducted to recognize all studies that used PCD intervention in the management of pancreatic necrosis (PN) and pancreatic pseudocysts (PP). Random effects meta-analysis was performed, and Cochrane's Q test and Istatistic were utilized to determine heterogeneity. Read More

J Am Anim Hosp Assoc 2022 Mar;58(2):96-104

A 9.5 yr old Yorkshire terrier presented with chronic intermittent vomiting and lethargy of 1.5 yr duration that progressed to generalized weakness. Read More

BMJ Case Rep 2021 Sep 30;14(9). Epub 2021 Sep 30.

Gastroenterology, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India

Pseudocysts are localised fluid collections, usually developing as a complication of acute or chronic pancreatitis. Pancreatic ductal or parenchymal calcifications are commonly seen in routine radiological imaging, but calcification of pseudocyst is extremely rare. Calcified pseudocysts have been reported in literature as case reports, but a calcified pseudocyst in the lesser sac, without underlying pancreatic calcification, has not been reported. Read More

Pol J Radiol 2021 18;86:e489-e495. Epub 2021 Aug 18.

Department of Vascular and Interventional Radiology, AORN "A. Cardarelli", Napoli, Italy.

Pseudoaneurysms of the pancreatic and peripancreatic arteries is a well-known complication of chronic or necrotizing pancreatitis due to proteolytic enzymatic digestion of the arterial wall. A major part of peripancreatic pseudoaneurysms involve the splenic artery, but any peripancreatic artery may be involved and bleed. They are potentially life threatening for patients, due to spontaneous intraperitoneal rupture, rupture and fistulization into the surrounding organs, or fistulization into the pancreatic duct. Read More

J Trauma Acute Care Surg 2021 10;91(4):708-715

From the Department of Surgery (C.G.B., A.W.K.), University of Calgary, Calgary, Alberta, Canada; Department of Surgery (W.L.B.), Scripps Clinic Medical Group, La Jolla, California; Department of Surgery (S.M.H.), University of British Columbia, Vancouver, BC, Canada; Department of Surgery (K.V., N.G.P.), Western University, London, Ontario, Canada; and Department of Surgery (M.K.), Cook County Hospital, Chicago, Illinois.

Background: Clinical equipoise remains significant for the treatment of Grade IV pancreatic injuries in stable patients (i.e., drainage vs. Read More