6,131 results match your criteria Pancreatic Pseudocysts


Nonneoplastic Lesions of the Pancreas: A Retrospective Analysis of 20 Cases.

Sisli Etfal Hastan Tip Bul 2018 30;52(1):31-35. Epub 2018 Mar 30.

Department of Pathology, Istanbul Sisli Hamidiye Etfal Application and Research Center, University of Health Sciences, Istanbul, Turkey.

Objectives: In the pancreatic lesion cases, surgery is often planned based only on imaging results and without a preoperative histological diagnosis, due to the high risk of malignancy in combination with the difficulty of invasive interventions and limited cytopathological evaluation. In this study, the records of 20 patients who had undergone a pancreatectomy procedure and who were diagnosed with nonneoplastic pancreatic lesions were retrospectively evaluated according to the clinical and histopathological findings.

Methods: A total of 122 cases of patients who underwent a pancreatectomy with suspicious lesions between 2004 and 2016 were retrospectively assessed in detail using the clinical and histopathological findings. Read More

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http://dx.doi.org/10.14744/SEMB.2017.88598DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315078PMC

Risk Factors for Sinistral Portal Hypertension and Related Variceal Bleeding in Patients with Chronic Pancreatitis.

J Dig Dis 2020 Jun 25. Epub 2020 Jun 25.

Department of Gastroenterology, Digestive Endoscopy Center, Changhai Hospital, the Second Military Medical University, Shanghai, China.

Aim: Sinistral portal hypertension (SPH) is an uncommon complication of chronic pancreatitis (CP) and can result in severe gastrointestinal bleeding. The aim of this study was to determine the prevalence and the potential risk factors for SPH and related gastrointestinal variceal bleeding in CP patients.

Methods: This is a case-control study. Read More

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http://dx.doi.org/10.1111/1751-2980.12916DOI Listing

The bridge stenting-based internal drainage in pancreatic trauma patients with main pancreatic duct injury.

Updates Surg 2020 Jun 22. Epub 2020 Jun 22.

Department of Gastroenterology and Hepatology, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, Chengdu, 610072, Sichuan Province, China.

Pancreatic trauma is associated with high mortality and morbidity, especially in main pancreatic duct (MPD) injuries. Here, we introduce a novel technique via the placement of bridge stenting-based internal drainage (BSID) along the injured MPD to restore pancreatic tissue integrity. Twelve patients with MPD injury underwent unobstructed BSID as physical support for healing. Read More

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http://dx.doi.org/10.1007/s13304-020-00807-5DOI Listing

An Inflamed, Giant, True, Extramural Duodenal Diverticulum: A Rare Autopsy Finding.

Am J Forensic Med Pathol 2020 Jun 18. Epub 2020 Jun 18.

Department of Pathology, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND.

A 53-year-old man was found to have a giant 16 × 6-cm hemorrhagic and cystic mass centered on the pancreas and duodenum. Initially diagnosed as a pancreatic pseudocyst at the time of autopsy, the cystic mass was later determined by histologic examination to be a true diverticulum of the duodenum as microscopic examination of the wall revealed 2 layers of muscle, as well as a neutrophilic infiltrate. While the cause of death of the individual was certified as methamphetamine toxicity, cardiomegaly and probable dehydration associated with a giant duodenal diverticulum were listed as contributory conditions. Read More

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http://dx.doi.org/10.1097/PAF.0000000000000571DOI Listing

[Indications for Surgical and Interventional Therapy of Acute Pancreatitis].

Zentralbl Chir 2020 Jun 18. Epub 2020 Jun 18.

Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Städtisches Klinikum Dresden-Friedrichstadt, Deutschland.

Background: 15 to 20% of patients with acute pancreatitis develop necrosis of the pancreatic parenchyma or extrapancreatic tissue. The disease is associated with a mortality rate of up to 20%. The mainstays of treatment consist of intensive medical care and surgical and interventional therapy. Read More

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http://dx.doi.org/10.1055/a-1164-7099DOI Listing

Complex Pancreaticobiliary Maljunction with Pancreas Divisum and Obstructive Pseudocyst.

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

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http://dx.doi.org/10.25259/JCIS_17_2020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294320PMC

Differential diagnosis and laparoscopic resection of an adrenal pseudocyst: A case report.

Int J Surg Case Rep 2020 Jun 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

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http://dx.doi.org/10.1016/j.ijscr.2020.05.082DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298542PMC

Endoscopic cyst gastrostomy for traumatic pancreatic pseudocysts in children: a case series.

Trauma Surg Acute Care Open 2020 8;5(1):e000456. Epub 2020 Apr 8.

Department of Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.

Background: Pancreatic pseudocysts may develop after high-grade pancreatic injuries in children. Many resolve without intervention, and the management of symptomatic pseudocysts that persist remains controversial, with various open, percutaneous and laparoscopic approaches to intervention described. Successful endoscopic cyst gastrostomy has been reported in children with pancreatic pseudocysts of mixed etiology. Read More

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http://dx.doi.org/10.1136/tsaco-2020-000456DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7254115PMC

Splenic rupture caused by pancreatic pseudocyst successfully treated by endoscopic ultrasound-guided drainage.

Clin J Gastroenterol 2020 Jun 8. Epub 2020 Jun 8.

Endoscopic Center, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki, 305-8576, Japan.

A 43-year-old man was admitted to a local hospital because of acute left abdominal pain. Chronic alcoholic pancreatitis and a 10-cm pancreatic pseudocyst in the tail of the pancreas had been found 5 years previously. He had not stopped drinking alcohol since then. Read More

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http://dx.doi.org/10.1007/s12328-020-01152-1DOI Listing

Patient reported exposure to smoking and alcohol abuse are associated with pain and other complications in patients with chronic pancreatitis.

Pancreatology 2020 May 11. Epub 2020 May 11.

Department of Clinical Medicine, University of Bergen, Bergen, Norway; Medical Department, Haukeland University Hospital, Bergen, Norway.

Background/objectives: Smoking and alcohol abuse are established risk factors for chronic pancreatitis (CP). Few studies have examined how exposure to smoking and alcohol abuse act as risk factors for complications in CP. Our aim was to examine associations between patient reported exposure to smoking and alcohol abuse and complications in CP in a large cohort of patients from the Scandinavian and Baltic countries. Read More

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http://dx.doi.org/10.1016/j.pan.2020.05.001DOI Listing

Endoscopic Ultrasound-Guided Management of Chronic Pancreatitis.

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

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http://dx.doi.org/10.1007/s11894-020-00772-4DOI Listing

SARS-CoV2 RNA detection in a pancreatic pseudocyst sample.

Pancreatology 2020 May 28. Epub 2020 May 28.

Department of Medical and Surgical Sciences, Gastroenterology Unit, Fondazione Policlinico Universitario A, Gemelli IRCCS, Rome, Italy.

The involvement of gastrointestinal system in SARS-CoV2 related disease, COVID-19, is increasingly recognized. COVID-19 associated pancreatic injury has been suggested, but its correlation with pancreatic disease is still unclear. In this case report, we describe the detection of SARS-CoV2 RNA in a pancreatic pseudocyst fluid sample collected from a patient with SARS-CoV2 associated pneumonia and a pancreatic pseudocyst developed as a complication of an acute edematous pancreatitis. Read More

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http://dx.doi.org/10.1016/j.pan.2020.05.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7254005PMC

[Indications for the Surgical Management of Pancreatic Cystic Lesions].

Zentralbl Chir 2020 Jun 4. Epub 2020 Jun 4.

Klinik für Allgemein- und Viszeralchirurgie, Universitätsklinikum Erlangen, Deutschland.

A steady improvement in modern imaging as well as increasing age in society have led to an increasing number of cystic pancreatic tumours being detected. Pancreatic cysts are a clinically challenging entity because they span a broad biological spectrum and their differentiation is often difficult, especially in small tumours. Therefore, they require a differentiated indication for indication of surgery. Read More

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http://dx.doi.org/10.1055/a-1158-9536DOI Listing

Role of Cross-sectional Imaging (CT/MRI) in Characterization and Distinguishing Benign from Malignant/Potentially Malignant Cystic Lesions of Pancreas.

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

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http://dx.doi.org/10.25259/JCIS_15_2020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265468PMC

Endoscopic Ultrasound Guided Pancreatic Pseudocyst drainage experience at a tertiary care unit.

Pak J Med Sci 2020 May-Jun;36(4):637-641

Dr. Jawwad Azeem, SMO. Department of Surgery, Dow University of Health Sciences, Karachi, Pakistan.

Objective: To evaluate the clinical success, technical success and complications related to Endoscopic ultrasound (EUS) guided Pancreatic pseudocyst (PPC) drainage.

Methods: This retrospective study was conducted on the patients with symptomatic PPC who presented over a period of three years, between January 2015 and September 2018, at Endoscopic Suite of Surgical Unit 4, Civil Hospital, Karachi. Record was analyzed for demographic data, indications for the procedure, complications and success related to EUS guided drainage. Read More

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http://dx.doi.org/10.12669/pjms.36.4.1442DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7260908PMC

Retroperitoneal mesothelial cyst misdiagnosed as a congenital choledochal cyst for an infant patient: A case report and literature review.

Int J Surg Case Rep 2020 8;71:176-178. Epub 2020 May 8.

Department of Pediatric Surgery, West China Hospital of Sichuan University, Chengdu, Sichuan Province, People's Republic of China.

Introduction: Mesothelial cyst (MC) is very uncommon in clinic, which could occasionally occur in peritoneal, retroperitoneal or even pleural cavity.

Presentation Of Case: We hereby described an infant patient with retroperitoneal MC who was misdiagnosed as congenital choledochal cyst by both radiologists and clinicians. A choledochal cyst resection with hepatojejunostomy under the da Vinci surgical system was routinely prepared for this patient but a local resection for the whole lesion was unexpectedly performed during the operation. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.04.075DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7248580PMC

Management of pancreatic collections: an update.

Rev Esp Enferm Dig 2020 Jun;112(6):483-490

Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal. Unviersidad de Alcalá. IRYICIS, España.

Pancreatic fluid collections frequently occur in the context of moderate and severe acute pancreatitis, and may also appear as a complication of chronic pancreatitis, pancreatic surgery or trauma. It is essential to adhere to the Atlanta classification nomenclature that subclassifies them into four categories (acute peripancreatic fluid collections, acute necrotic collections, pseudocysts, and walled-off necrosis) since it has an impact on prognosis and management. Pseudocysts and walled-off pancreatic necrosis are encapsulated pancreatic fluid collections characterized by a surrounding inflammatory wall, which typically develops three to four weeks after the onset of acute pancreatitis. Read More

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http://dx.doi.org/10.17235/reed.2020.6814/2019DOI Listing

True congenital multicystic disease of the pancreas in the infant: a very rare case.

J Ultrasound 2020 May 22. Epub 2020 May 22.

Radiodiagnostic and Radiotherapy Unit, Department of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia", Via Santa Sofia 78, 95123, Catania, Italy.

The most frequent pancreatic cysts in patients of developmental age are pseudocysts, neoplastic cysts, posttraumatic cysts, and parasitic cysts. Retention cysts, duplication cysts, and congenital cysts are called true cysts. Among the true cysts, congenital cysts are very rare and include 1% of all pancreatic cysts. Read More

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http://dx.doi.org/10.1007/s40477-020-00472-9DOI Listing

Endoscopic ultrasound (EUS) in pancreatic masses with inconclusive radiologic workup - a case series and short review of the literature.

Med Ultrason 2020 Apr 1. Epub 2020 Apr 1.

Department of Internal Medicine and Gastroenterology (IMuG), Hepatology, Endocrinology, Rheumatology, Nephrology and Emergency Medicine (ZAE) with Centralized Endoscopy Service, Klinikum Klagenfurt am Wörthersee, Klagenfurt, Austria.

Endoscopic ultrasound (EUS) is a very sensitive examination to detect pancreatic masses and can provide useful information in cases where conventional radiologic workup remains inconclusive. We present three cases in which EUS was decisive in establishing the correct diagnosis. Case 1: A 74-year-old female was hospitalized because of acute pancreatitis. Read More

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http://dx.doi.org/10.11152/mu-2408DOI Listing

Spinal Cord Ischemia Because of Microvascular Thrombosis in a Patient with Necrotizing Pancreatitis. Case Report and Literature Review.

Am J Case Rep 2020 May 12;21:e923273. Epub 2020 May 12.

Department of Clinical Radiology, Medical University of Warsaw, Warsaw, Poland.

BACKGROUND Central nervous system ischemia in acute pancreatitis is rare with only a handful of cases reported in the literature. We report a case of spinal cord ischemia due to microvascular thrombosis complicating acute on chronic pancreatitis. CASE REPORT A 37-year-old male was transferred to a university hospital intensive care unit with a diagnosis of acute onset chronic pancreatitis, paraplegia, and multi-organ failure. Read More

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http://dx.doi.org/10.12659/AJCR.923273DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7252832PMC

Incidence and Significance of Biliary Stricture in Chronic Pancreatitis Patients Undergoing Extracorporeal Shock Wave Lithotripsy for Obstructing Pancreatic Duct Stones.

Gut Liver 2020 May 13. Epub 2020 May 13.

Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA, USA.

Background/aims: This study assessed the significance of biliary stricture in symptomatic chronic pancreatitis patients requiring extracorporeal shock wave lithotripsy (ESWL) and endoscopic retrograde cholangiopancreatography (ERCP) to remove obstructing pancreatic calculi.

Methods: A total of 97 patients underwent ESWL followed by ERCP to remove pancreatic calculi between October 2014 and October 2017 at Virginia Mason Medical Center. Significant biliary stricture (SBS) was defined as a stricture with upstream dilation on computed tomography scan or magnetic resonance cholangiopancreatography scans accompanied by cholestasis and/or cholangitis. Read More

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http://dx.doi.org/10.5009/gnl19380DOI Listing

Clinical manifestations, imaging features, and endoscopic management of renal pseudocysts: a case series.

Ann Gastroenterol 2020 May-Jun;33(3):313-317. Epub 2020 Apr 3.

Department of Surgery (Rajesh Gupta), Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

Background: Renal pseudocysts (RP) are rare and we know little about their presentation and management. In the present case series, we present the pertinent clinico-radiological features as well as the role of endoscopic drainage in symptomatic RP.

Methods: A retrospective analysis was performed of patients with RP seen in our unit over the last 12 years. Read More

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http://dx.doi.org/10.20524/aog.2020.0476DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7196611PMC

[Recommendations of the Society of Gastroenterology of Peru to avoid the spread of SARS-CoV-2 through digestive endoscopy procedures].

Rev Gastroenterol Peru 2020 Jan-Mar;40(1):95-99

Presidente de la Sociedad de Gastroenterología del Perú. Lima, Perú; Clínica Ricardo Palma. Lima, Perú; Editor Asociado de la Revista de Gastroenterología del Perú. Lima, Perú.

The SARS-CoV-2 coronavirus produces the disease called COVID-19, currently spreading in a rapidly evolving pandemic. It can be transmitted by contact, drops and aerosols, and has been isolated from gastrointestinal secretions and faeces. During digestive endoscopy, transmission by any of these mechanisms could occur. Read More

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Embolization of pancreatic arteriovenous malformation: A case report.

World J Clin Cases 2020 Apr;8(8):1471-1476

Department of Radiology, Dankook University Hospital, Chungcheongnam-do 31116, South Korea.

Background: Pancreatic arteriovenous malformation (AVM) is a rare disease with a number of different reported treatment methods, but there are as yet no established or definite treatments for the disease.

Case Summary: A 43-year-old man visited the hospital due to periumbilical pain. The patient underwent imaging study and laboratory testing for evaluation of cause. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i8.1471DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190961PMC

Spontaneous Resolution of Hemorrhagic Pseudocyst-Associated Pseudoaneurysm in Groove Pancreatitis.

Case Rep Gastroenterol 2020 Jan-Apr;14(1):131-136. Epub 2020 Apr 8.

Department of Internal Medicine, Konkuk University Chungju Hospital, Chungju, Republic of Korea.

Hemorrhagic pseudocyst (HP) and pseudocyst-associated pseudoaneurysms (PPs) are complications of pseudocyst. Angiography with embolization has been advocated as the first-line intervention for HP. A 47-year-old man with groove pancreatitis combined with HP near the pancreatic head was treated conservatively. Read More

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http://dx.doi.org/10.1159/000502836DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184797PMC

Identification of Individuals at Increased Risk for Pancreatic Cancer in a Community-Based Cohort of Patients With Suspected Chronic Pancreatitis.

Clin Transl Gastroenterol 2020 Apr;11(4):e00147

Center for Pancreatic Care, Kaiser Permanente Los Angeles Medical Center, Los Angeles, California, USA.

Objectives: We lack reliable methods for identifying patients with chronic pancreatitis (CP) at increased risk for pancreatic cancer. We aimed to identify radiographic parameters associated with pancreatic cancer in this population.

Methods: We conducted a retrospective cohort study of patients with suspected CP within an integrated healthcare system in Southern California in 2006-2015. Read More

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http://dx.doi.org/10.14309/ctg.0000000000000147DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263650PMC

Splenic Artery Pseudoaneurysm Causing Massive Hematemesis 10 Years After Necrotizing Pancreatitis.

Vasc Endovascular Surg 2020 Jul 22;54(5):455-457. Epub 2020 Apr 22.

Upper Gastrointestinal and Hepatobiliary Surgery, St Vincent's Hospital, Melbourne, Victoria, Australia.

We report a case of a 54-year-old male presenting to a regional hospital with severe hematemesis and hemodynamic instability. His medical history was significant for a previous episode of alcoholic necrotizing pancreatitis and pseudocyst, requiring cystoenterostomy drainage and debridement 10 years prior. He underwent multiple gastroscopies and one emergency laparotomy which failed to definitively treat the bleeding. Read More

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http://dx.doi.org/10.1177/1538574420921004DOI Listing

Pancreatic fluid collections: Clinical manifestations, diagnostic evaluation and management.

Dis Mon 2020 Apr 17:100986. Epub 2020 Apr 17.

Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.

Pancreatic fluid collections (PFC), including pancreatic pseudocysts and walled-off pancreatic necrosis, are a known complication of severe acute pancreatitis. A majority of the PFCs remain asymptomatic and resolve spontaneously. However, some PFCs persist and can become symptomatic. Read More

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http://dx.doi.org/10.1016/j.disamonth.2020.100986DOI Listing
April 2020
0.535 Impact Factor

Peripartum Severe Acute Pancreatitis with Rare Complications: Case Report and Review of Literature.

Case Rep Surg 2020 2;2020:5785413. Epub 2020 Apr 2.

Department of Acute Care Surgery, Hamad Medical Corporation, Doha, Qatar.

Peripartum pancreatitis is a rare clinical condition that occurs usually in the third trimester of pregnancy. Pancreatitis is usually secondary to gallstones, and it can lead to life-threatening and rare complications. We report a case of necrotizing postpartum pancreatitis that developed abdominal compartment syndrome (ACS) in early course, posterior reversible encephalopathy syndrome (PRES), and splanchnic and extrasplanchnic thrombosis later on. Read More

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http://dx.doi.org/10.1155/2020/5785413DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7157796PMC

Staged Interventional and Surgical Treatment of Patient with Chronic Pancreatitis Complicated by Pancreaticopleural Fistula with Lung Abscesses.

Am J Case Rep 2020 Apr 20;21:e922195. Epub 2020 Apr 20.

Fourth Department of Surgery, Saint Petersburg City Hospital #15, Saint Petersburg, Russian Federation.

BACKGROUND Pancreaticopleural fistula is a rare complication of chronic pancreatitis. Its formation is associated with local disruption of the pancreatic duct or pseudocyst communicating with the ductal system. Rarely, other intrathoracic complications may develop such as mediastinitis, pericarditis, hemothorax, and pleural empyema. Read More

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http://dx.doi.org/10.12659/AJCR.922195DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7193244PMC

Idiopathic Retroperitoneal Non-pancreatic Pseudocyst in an Adult Male: Radiological Images and Surgical Video of Laparoscopic Excision.

Cureus 2020 Mar 11;12(3):e7243. Epub 2020 Mar 11.

Radiology, Wollongong Diagnostics, Wollongong, AUS.

Retroperitoneal pseudocyst (RPC) is an uncommon surgical entity. The pseudocyst is characterized by the absence of epithelial lining in the cyst wall. Mostly, it occurs as a sequela of pancreatitis. Read More

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http://dx.doi.org/10.7759/cureus.7243DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7147531PMC

The efficacy of F-FDG PET/CT in the preoperative evaluation of pancreatic lesions.

Ann Surg Treat Res 2020 Apr 31;98(4):184-189. Epub 2020 Mar 31.

Department of General Surgery, Faculty of Medicine, Cukurova University, Adana, Turkey.

Purpose: Since the treatment strategy for benign and malignant pancreatic lesions differ, we aimed to evaluate the clinical value of PET/CT in the diagnosis and management of pancreatic lesions.

Methods: Ninety patients who had a histologically confirmed pancreatic lesion were studied. Receiver operating characteristic (ROC) curve analysis was used to investigate the ability of PET/CT to differentiate malignant lesions from benign tumors. Read More

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http://dx.doi.org/10.4174/astr.2020.98.4.184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7118324PMC

A rare case of a patient with PPP syndrome presenting pancreatic pseudocysts, panniculitis, and symptoms of polyarthritis. A radicular cyst of the upper jaw could be another manifestation of the syndrome.

Clin Case Rep 2020 Apr 14;8(4):625-629. Epub 2020 Jan 14.

Department of Dermatology University of Greifswald Greifswald Germany.

In rare cases, pancreatic enzymes can enter the bloodstream and cause fat necrosis in the bone and tissue leading to a disorder called pancreatitis, panniculitis, and polyarthritis syndrome. Clinicians should have this syndrome in mind when treating patients with pancreatitis. Read More

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http://dx.doi.org/10.1002/ccr3.2651DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141739PMC

Multiple jeopardy: Diagnostic and therapeutic challenges in vasculitic flare.

Int J Rheum Dis 2020 May 7;23(5):697-701. Epub 2020 Apr 7.

Department of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, India.

A 57-year old gentleman had presented a year back with inflammatory oligoarthritis and vasculitic neuropathy, diagnosed as unclassifiable vasculitis, initiated on oral corticosteroids and intravenous cyclophosphamide (monthly X 6). His disease stabilized and he had been maintained on azathioprine, which had to be stopped due to acute pancreatitis with subsequent pseudocyst formation, requiring percutaneous drainage suspecting infection. Within a week of pseudocyst drainage, he developed sudden onset pain in left upper limb, with absent left upper limb pulses, loss of motor function of left hand, myocardial ischemia, and extensive thrombosis of the left upper limb arteries. Read More

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http://dx.doi.org/10.1111/1756-185X.13836DOI Listing
May 2020
1.771 Impact Factor

Pancreatic pseudocyst-portal vein fistula: a case treated with EUS-guided cyst-drainage and a review of the literature.

Clin J Gastroenterol 2020 Mar 25. Epub 2020 Mar 25.

Department of Gastroenterology, Medicine Center, Shonan Kamakura General Hospital, 1370-1 Okamoto, Kamakura, Kanagawa, 247-8533, Japan.

Pancreatic pseudocyst and portal vein thrombosis are common conditions resulting from acute and chronic pancreatitis. However, pancreatic pseudocyst-portal vein fistula (PPVF) is a rare and life-threatening complication. In PPVF patients, drainage or operative therapy is necessary under certain conditions, including communication between the pseudocyst and pancreatic duct, pancreatic duct stricture, pancreatic duct stone, and infection that is difficult to control with antibiotics. Read More

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http://dx.doi.org/10.1007/s12328-020-01105-8DOI Listing

Eosinophilic pancreatitis: a rare or unexplored disease entity?

Prz Gastroenterol 2020 3;15(1):34-38. Epub 2020 Mar 3.

Department of Medicine, Section of Pulmonary Diseases, Tulane Eosinophilic Disorders Centre, Tulane University School of Medicine, New Orleans, LA, USA.

Several case reports show accumulation of eosinophils in pancreatitis patients and term the disease as "eosinophilic pancreatitis (EP)". EP usually presents with a pancreatic tumour and abdominal pain in obstructive jaundice, which is generally not diagnosed until the patient undergoes pancreatic resection. Histologically, EP reveals distinct patterns like diffused, periductal, acinar, and septal inflammatory infiltrates with eosinophils, eosinophilic phlebitis, and localised extreme eosinophilic infiltrates related with pseudocyst formation. Read More

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http://dx.doi.org/10.5114/pg.2019.90631DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7089860PMC
March 2020
0.375 Impact Factor

Which stent to use for the management of pancreatic pseudocysts? Time for randomized controlled studies.

Endoscopy 2020 Apr 25;52(4):321. Epub 2020 Mar 25.

Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

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http://dx.doi.org/10.1055/a-1103-1938DOI Listing

Endoscopic Retrieval of a Lumen-Apposing Metal Stent That Migrated Into the Abdominal Cavity During Transluminal Drainage.

Am J Gastroenterol 2020 04;115(4):504

Department of Gastroenterology, Chinese PLA General Hospital, Beijing, China.

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http://dx.doi.org/10.14309/ajg.0000000000000595DOI Listing

Paediatric acute pancreatitis: Clinical profile and natural history of collections.

Pancreatology 2020 Jun 13;20(4):659-664. Epub 2020 Mar 13.

Division of Paediatric Radiology, Post Graduate Institute of Medical Education & Research, Chandigarh, 160012, India.

Background & Aims: Acute Pancreatitis (AP) tends to have a benign course in children. However there is a paucity of information with respect to severity of AP in children, the categorization of collections viz., walled off necrosis (WON)& pseudocyst and their natural history & outcomes. Read More

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http://dx.doi.org/10.1016/j.pan.2020.03.007DOI Listing

Hemorrhagic pancreatic pseudocyst: A rare complication.

Am J Emerg Med 2020 Mar 12. Epub 2020 Mar 12.

Department of Internal Medicine, SUNY Upstate Medical University, Syracuse, NY 13210, United States of America.

Pancreatic pseudocysts are seen both in acute and chronic pancreatitis. Prevalence of pancreatic pseudocyst in chronic pancreatitis is 20% to 40% and is most commonly seen in alcoholic chronic pancreatitis. Intracystic hemorrhage from a pseudoaneurysm is a rare and potentially a lethal complication of pancreatic pseudocyst with an incidence of less than 10%. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.03.020DOI Listing

The Role of Endoscopic and Surgical Treatment in Chronic Pancreatitis.

Scand J Surg 2020 Mar;109(1):69-78

Gastroenterological Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Chronic pancreatitis is a long-term illness leading to hospital admissions and readmission. This disease is often caused by heavy alcohol consumption and smoking. Patients with chronic pancreatitis suffer from acute or chronic pain episodes, recurrent pancreatitis, and complications, such as pseudocysts, biliary duct strictures, and pancreatic duct fistulas. Read More

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http://dx.doi.org/10.1177/1457496920910009DOI Listing

Classification, Severity Assessment, and Prevention of Recurrences in Acute Pancreatitis.

Scand J Surg 2020 Mar;109(1):53-58

Department of Surgery, Translational Cancer Medicine Research Program, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Background: Acute pancreatitis is a common disease, the incidence of which is 75-100/100,000/year in Finland. The worldwide incidence of acute pancreatitis is increasing. The identified mildcases usually show rapid recovery with conservative treatment allowing early discharge. Read More

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http://dx.doi.org/10.1177/1457496920910007DOI Listing

The Management of an Intraperitoneal Leak Following Transgastric Stenting of a Pancreatic Pseudocyst.

Cureus 2020 Mar 10;12(3):e7236. Epub 2020 Mar 10.

Surgery, Bankstown Hospital, Sydney, AUS.

The traditional management of pancreatic pseudocyst (PP) is surgical drainage; however, there is significant morbidity associated with this approach. An endoscopic ultrasound (EUS)-guided transgastric endoscopic approach is preferred if there is favourable access to the PP. This case report describes a rare complication of an EUS-guided transgastric drainage of a PP secondary to a suboptimally positioned stent. Read More

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http://dx.doi.org/10.7759/cureus.7236DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7067370PMC

Endoscopy-assisted, single trans-gastric trocar, laparoscopic pseudocysto-gastrostomy A minimally invasive alternative for drainage of large pseudocysts.

Ann Ital Chir 2020 ;91:112-115

Introduction: Pancreatic pseudocyst is a complication of acute and chronic pancreatitis, which requires treatment in correlation with its size, symptomatology and mass effect on adjacent structures. Currently, pseudocyst drainage can be done within the stomach or small intestine through endoscopic, laparoscopic or open surgery approach.

Aims: In this paper we present a hybrid surgical technique applied by our team on 3 consecutive patients with pancreatic pseudocyst. Read More

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January 2020

[A Case of Pancreatic Head Cancer Resected after Neoadjuvant Chemotherapy Followed by Pseudocyst].

Gan To Kagaku Ryoho 2019 Dec;46(13):2021-2023

Dept. of Surgery, Tokuyama Central Hospital.

A 41-year-old man with upper abdominal and back pain was admitted to another hospital. He had a history of recurring acute pancreatitis and pseudocyst. Six months later, abdominal CT revealed a pancreatic head tumor arising from the pseudocyst, and adenocarcinoma was suspected based on endoscopic ultrasound fine needle aspiration(EUS-FNA)findings. Read More

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December 2019

Hydatid disease of pancreas: A case report.

Interv Med Appl Sci 2019 Mar;11(1):74-76

Clinical Center, Institute of Surgery, University of Debrecen, Debrecen, Hungary.

Primary pancreatic hydatid disease is extremely rare. Diagnosis of the disease is difficult because hydatid cysts can be confused with a pseudocyst or neoplastic cystic diseases. Authors report a case of a surgically treated hydatid disease of the uncinate process of pancreas. Read More

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http://dx.doi.org/10.1556/1646.11.2019.05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044569PMC

A population-based study of chronic pancreatitis in Finland: Effects on quality of life.

Pancreatology 2020 Apr 21;20(3):338-346. Epub 2020 Feb 21.

Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland; Dept of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland. Electronic address:

Background/objectives: In Finland the incidence of chronic pancreatitis (CP) is high compared to that in most European countries. Recent epidemiological data is lacking. Our aim was to investigate the current epidemiologic and behavioural data on CP patients in Finland. Read More

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http://dx.doi.org/10.1016/j.pan.2020.02.005DOI Listing
April 2020
2.504 Impact Factor

A Man with Pain in the Left Upper Quadrant and Left Shoulder.

Gastroenterology 2020 Mar 3. Epub 2020 Mar 3.

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan; Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. Electronic address:

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http://dx.doi.org/10.1053/j.gastro.2020.02.047DOI Listing

Molecular Diagnosis of Cystic Neoplasms of the Pancreas: a Review.

J Gastrointest Surg 2020 May 3;24(5):1201-1214. Epub 2020 Mar 3.

Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, 43210, USA.

Background: The prevalence of incidental pancreatic cystic neoplasms (PCNs) has increased dramatically with advancements in cross-sectional imaging. Diagnostic imaging is limited in differentiating between benign and malignant PCNs. The aim of this review is to provide an overview of biomarkers that can be used to distinguish PCNs. Read More

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http://dx.doi.org/10.1007/s11605-020-04537-2DOI Listing