6,443 results match your criteria Pancreatic Pseudocysts

Spontaneous drainage of a pancreatic pseudocyst into the stomach.

Yanjun Dong Jun Li

Rev Esp Enferm Dig 2022 Jun 24. Epub 2022 Jun 24.

Radiology, Binzhou Medical University Hospital, China.

A 45-year-old woman presented with a ten-day history of abdominal pain. Laboratory examination upon admission indicated increased serum amylase level of 213 U/L (35-135 U/L). Tumor markers were within the normal range. Read More

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Cervical extension of pancreatic pseudocyst: An unusual cause of neck stiffness and dysphagia.

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

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Application of Artificial Intelligence in the Management of Pancreatic Cystic Lesions.

Biomimetics (Basel) 2022 Jun 14;7(2). Epub 2022 Jun 14.

Department of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA.

The rate of incidentally detected pancreatic cystic lesions (PCLs) has increased over the past decade and was recently reported at 8%. These lesions pose a unique challenge, as each subtype of PCL carries a different risk of malignant transformation, ranging from 0% (pancreatic pseudocyst) to 34-68% (main duct intraductal papillary mucinous neoplasm). It is imperative to correctly risk-stratify the malignant potential of these lesions in order to provide the correct care course for the patient, ranging from monitoring to surgical intervention. Read More

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Use of a twin-channel endoscope for removal of a lumen-apposing metal stent that migrated spontaneously after cystogastrostomy.

J Hepatobiliary Pancreat Sci 2022 Jun 20. Epub 2022 Jun 20.

Department of Gastroenterology, Dokkyo Medical University Saitama Medical Center, Koshigaya City, Saitama, Japan.

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Endoscopic management of pancreatic fluid collections with disconnected pancreatic duct syndrome.

Endosc Ultrasound 2022 Jun 8. Epub 2022 Jun 8.

Department of Gastroenterology, Changhai Hospital, Second Military Medical University/Naval Medical University, Shanghai, China.

Disconnected pancreatic duct syndrome (DPDS) is an important and common complication of acute necrotizing pancreatitis. Endoscopic approach has been established as the first-line treatment for pancreatic fluid collections (PFCs) with less invasion and satisfactory outcome. However, the presence of DPDS significantly complicates the management of PFC; besides, there is no standardized treatment for DPDS. Read More

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A Rare Case of Pancreatic Ascites Secondary to Chronic Pancreatitis.

J Investig Med High Impact Case Rep 2022 Jan-Dec;10:23247096221103379

Robert Wood Johnson Barnabas Health/Trinitas Regional Medical Center, Elizabeth, NJ, USA.

Pancreatic ascites refer to continuous leakage of pancreatic secretions in the peritoneum leading to accumulation of pancreatic fluid in the peritoneal cavity. Although literature on the incidence of pancreatic ascites and presenting signs and symptoms is scarce, it may be seen in patients with chronic alcoholic pancreatitis. Patients typically present with acute chronic pancreatitis and new-onset ascites, with or without abdominal pain. Read More

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The Characteristics and Risk Factors of Asparaginase-Associated Pancreatitis in Pediatric Acute Lymphoblastic Leukemia.

Pancreas 2022 Jun 13. Epub 2022 Jun 13.

From the Departments of Pediatrics, National Cheng Kung University Hospital.

Objective: This study aimed to elucidate the characteristics and the risk factors for asparaginase-associated pancreatitis (AAP) in pediatric acute lymphoblastic leukemia (ALL) under Taiwan Pediatric Oncology Group (TPOG)-ALL regimen.

Methods: The study was conducted by reviewing the chart records of total 191 patients aged 1 to 18 years treated with TPOG-ALL (2002 and 2013) protocols at the National Cheng Kung University Hospital, Tainan, Taiwan, from 2002 to 2019. The disease incidence, clinical presentations, laboratory data, complications, and outcomes of AAP were investigated. Read More

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Tophaceous Gout in the Pancreas: Case Reports and Review of the Literature.

Case Rep Rheumatol 2022 3;2022:3671627. Epub 2022 Jun 3.

University of California, San Diego, CA, USA.

We report 3 patients who presented with abnormal pancreatic contents that were initially nondiagnostic but were eventually found to have urate crystal deposition consistent with pancreatic tophaceous gout. Our first case involved an ICU patient who had fever of unknown origin and refractory pancreatic pseudocyst. The other 2 patients presented with abdominal pain associated with a pancreatic mass which mimicked malignancy. Read More

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Molecular assessment of endoscopically collected pancreatic juice and duodenal fluid from patients with pancreatic diseases.

Dig Endosc 2022 Jun 4. Epub 2022 Jun 4.

First Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, 409-3898, Japan.

One concern associated with pancreatic diseases is poor prognosis of pancreatic cancer. Even with advancements in diagnostic modalities, risk stratification of premalignant lesions and differentiation of pancreatic cysts are challenging. Pancreatic lesions of concern include intraductal papillary mucinous neoplasms, mucinous cystic neoplasms, serous cystadenomas, pseudocysts, and retention cysts, as well as cystic degeneration of solid tumors such as solid pseudopapillary neoplasms and pancreatic neuroendocrine neoplasms. Read More

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A ruptured pancreatic pseudocyst causes acute peritonitis with clinical characteristics of a gastrointestinal tract perforation.

J Surg Case Rep 2022 May 25;2022(5):rjac164. Epub 2022 May 25.

Pathology Center - Bach Mai Hospital, 78 Giaiphong Road, Dong Da District, Hanoi, Vietnam.

Intraperitoneal air in pancreatic pseudocysts is a rare complication that can jeopardize hemodynamic stability and requires emergency surgery. A 61-year-old man was admitted to our hospital after abdominal pain, vomiting and diarrhea. Computed tomography showed a hollow visceral perforation with intraperitoneal air and two pseudocysts close to the pancreas. Read More

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An argument for serial imaging in a rare case of splenic rupture secondary to complicated pancreatic pseudocyst in a rural patient.

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

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

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Candida glabrata infection of a pancreatic pseudocyst in a COVID-19 patient: A case report and review of the literature.

Ann Med Surg (Lond) 2022 May 19;77:103648. Epub 2022 Apr 19.

Department of Surgery, Maroof International Hospital, Islamabad, Pakistan.

Introduction: Pancreatic pseudocysts remain a feared complication of acute or chronic pancreatitis and are often characterized by collections of fluids due to underlying damage to the pancreatic ducts, culminating in a walled-off region bereft of an epithelial layer but surrounded by granulation tissue. While fungal infections of pancreatic pseudocysts are rarely encountered, candida albicans remains the most frequently implicated organism.

Case Presentation: A 55-year-old male presented with pain in the left-hypochondriac region, accompanied by non-bilious emesis and nausea. Read More

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Scarless laparoscopic incisions in Pfannenstiel (slip): the first 50 cases using an innovative approach in pediatric robotic surgery.

J Robot Surg 2022 May 27. Epub 2022 May 27.

Department of Pediatric General Surgery and Urology, Assistance Publique-Hôpitaux de Paris (AP-HP), Robert-Debré Children University Hospital, 48 boulevard Sérurier, 75019, Paris, France.

Incisions in the supra-pubic region have been described robotic-assisted surgery to improve cosmetic results in adults, but seldom in children. We aimed to present an innovative trocar placement in the Pfannenstiel line, named Scarless Laparoscopic Incisions in Pfannenstiel (SLIP), and evaluate its feasibility for various intra-abdominal procedures and its cosmetic results in pediatric robotic surgery. We performed a monocentric prospective study, including children undergoing robotic-assisted surgeries using a SLIP approach (July 2019-September 2021). Read More

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Pancreaticopleural fistula: An insidious cause of pleural effusion -case report.

J Cardiovasc Thorac Res 2022 6;14(1):67-70. Epub 2021 Sep 6.

Gastroenterology Departement, Centro Hospitalar Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.

Pancreaticopleural fistulas (PPF) are a rare etiology of pleural effusions. We describe a case of a 61-year-old man, with left chest pain with six months of progression who presented with a large volume unilateral pleural effusion. A thoracentesis was performed, which showed a dark reddish fluid(exudate) and high content of pancreatic amylase. Read More

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September 2021

Isolated internal jugular and subclavian vein thrombosis: A rare complication of pancreatitis - A case report.

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

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Outcomes of Endoscopic Drainage in Children with Pancreatic Fluid Collections: A Systematic Review and Meta-Analysis.

Pediatr Gastroenterol Hepatol Nutr 2022 May 9;25(3):251-262. Epub 2022 May 9.

Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.

Purpose: Endoscopic drainage is an established treatment modality for adult patients with pancreatic fluid collections (PFCs). Available data regarding the efficacy and safety of endoscopic drainage in pediatric patients are limited. In this systematic review and meta-analysis, we aimed to analyze the outcomes of endoscopic drainage in children with PFCs. Read More

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A rare case of pediatric pancreatic pseudocyst.

Clin Case Rep 2022 May 15;10(5):e05879. Epub 2022 May 15.

Department of Internal Medicine Tribhuvan University Institute of Medicine Maharajgunj Nepal.

We present a case report of a 2-year-old boy who presented to a local hospital to evaluate vague abdominal symptoms of one-month duration. The patient, therefore, had an open cystogastrostomy and drainage of the free abdominal fluid with minimal complications. He was monitored for several days after his surgery. Read More

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Nomogram for prediction of adverse events after lumen-apposing metal stent placement for drainage of pancreatic fluid collections.

Dig Endosc 2022 May 23. Epub 2022 May 23.

Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL Romagna, Forlì-, Cesena, Italy.

Objectives: To generate a prognostic model based on a nomogram for adverse events (AEs) prediction after lumen-apposing metal stents (LAMS) placement in patients with pancreatic fluid collections (PFC).

Methods: Data from a large multicenter series of PFCs treated with LAMS placement were retrieved. AE (overall and excluding mild events) prediction was calculated through a logistic regression model and a nomogram was created and internally validated after bootstrapping. Read More

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Fusion radiology in interventional endoscopy (FRIend): a new approach for pancreatic fluid collections.

Endosc Int Open 2022 May 13;10(5):E622-E633. Epub 2022 May 13.

Azienda USL, IRCCs di Reggio Emilia, Gastroenterology and Digestive Endoscopy Unit, Reggio Emilia, Emilia-Romagna, Italy.

 Fusion imaging consists of overlaying preoperative imaging over live fluoroscopy, providing an augmented live guidance. Since 2017, we have been using a new hybrid operating room (Discovery IGS 740 OR, GE Healthcare) for biliopancreatic endoscopy, combining fusion imaging with traditional endoscopic ultrasound (EUS). This study aimed to assess the advantages that fusion imaging could bring to EUS-guided drainage of post-pancreatitis fluid collections. Read More

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Evaluation of an all-in-one hybrid model (EUS Magic Box) for stepwise teaching and training in multiple interventional EUS procedures.

Endosc Int Open 2022 May 13;10(5):E634-E643. Epub 2022 May 13.

Department of Gastroenterology, School of EUS, Institute of Digestive & Liver Care, S. L. Raheja Hospital, Mumbai, India.

While multiple interventional endoscopic ultrasound (EUS)-guided procedures have evolved over the past two decades, there is no model that allows for training in all of these procedures. We aimed to develop and validate an all-in-one hybrid model for stepwise learning in multiple EUS interventions. A hybrid model was created utilizing a pig esophagus and stomach, a silicon-based duodenum and pancreato-biliary system, a pseudocyst, and biopsy targets. Read More

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Endoscopic ultrasound-guided drainage of peripancreatic fluid collections: What impacts treatment duration?

Hepatobiliary Pancreat Dis Int 2022 May 6. Epub 2022 May 6.

Department of Gastroenterology and Internal Medicine, Medical University of Warsaw, Warsaw, Poland.

Background: Peripancreatic fluid collections (PFCs) are complications resulting from acute or chronic pancreatitis and require treatment in certain clinical conditions. The present study aimed to identify the factors influencing the duration of endoscopic ultrasound (EUS)-guided drainage of symptomatic pancreatic pseudocysts (PPCs), walled-off necrosis (WON), and acute necrotic collections (ANCs).

Methods: This was a retrospective cohort study of 68 patients with PFCs who underwent EUS-guided drainage. Read More

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Endoscopic Versus Laparoscopic Drainage of Pancreatic Pseudocysts: a Cost-effectiveness Analysis.

J Gastrointest Surg 2022 May 13. Epub 2022 May 13.

Division of Surgical Oncology, Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Background: Both endoscopic and laparoscopic interventions have a high therapeutic success rate in the management of symptomatic pancreatic pseudocysts; however, neither has been established as the gold standard.

Methods: A decision tree analysis was performed to examine the costs and outcomes of intervening on pancreatic pseudocysts endoscopically versus laparoscopically. Within the model, a theoretical patient cohort was separated into two treatment arms: endoscopic drainage and laparoscopic drainage. Read More

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Management of pancreatic fluid collections.

Transl Gastroenterol Hepatol 2022 25;7:17. Epub 2022 Apr 25.

New York University School of Medicine, New York, USA.

Pancreatic fluid collections often develop as a complication of acute pancreatitis but can be seen in a variety of conditions including chronic pancreatitis, trauma, malignancy or post-operatively. It is important to classify a pancreatic fluid collection in order to optimize treatment strategies and management. Most interventions are targeted towards the management of delayed complications of pancreatitis, including pancreatic pseudocysts and walled-off necrosis (WON), which often develop days to weeks after the initial episode of pancreatitis. Read More

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Life-Threatening Upper Gastrointestinal Hemorrhage in Hemosuccus Pancreaticus: A Case Report.

Cureus 2022 Apr 7;14(4):e23934. Epub 2022 Apr 7.

Internal Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.

Hemosuccus pancreaticus (HP) is a rare cause of upper gastrointestinal bleeding caused by bleeding from the ampulla of Vater into the duodenum. HP most commonly results from a rupture of pseudoaneurysms secondary to chronic pancreatitis. The low incidence of HP and the wide spectrum of its clinical presentation poses diagnostic challenges. Read More

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Pancreaticopleural Fistula: A Rare Presentation of Bilateral Pleural Effusions and Trapped Lung.

Case Rep Gastroenterol 2022 Jan-Apr;16(1):148-153. Epub 2022 Mar 28.

Department of Medicine, Keck School of Medicine of University of California, Los Angeles, California, USA.

A pancreaticopleural fistula (PPF) is a rare complication of chronic pancreatitis secondary to a pancreatic pseudocyst or any disruption of the main pancreatic duct. It commonly presents as a recurrent left-sided pleural effusion after multiple thoracentesis. We present a rare case of a 41-year-old woman with numerous flares of chronic pancreatitis presenting with large bilateral serosanguinous pleural effusions and trapped lung secondary to a PPF. Read More

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Solid pseudopapillary neoplasm of pancreas presenting after bicycle handlebar injury: diagnostic pitfalls in a young female-A case report.

Int J Surg Case Rep 2022 May 5;94:107044. Epub 2022 Apr 5.

Department of General Surgery, L.N. Medical College & Research Center, Bhopal, M.P. 462042, India. Electronic address:

Introduction And Importance: Solid pseudopapillary neoplasm (SPN) of pancreas is a rare neoplasm with very low malignant potential. It mainly affects females in third decade of life and has favourable prognosis.

Case Presentation: We report a case where a 17-years old girl presented with history of blunt abdominal trauma with handlebar of bicycle 6 months back, following which she developed abdominal pain and fullness in epigastrium. Read More

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Coincidence of splenic vein aneurysm and haemorrhagic cyst of the pancreas.

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

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Cystic Lesions of the Pancreas: Is Apparent Diffusion Coefficient Value Useful at 3 T Magnetic Resonance Imaging?

J Comput Assist Tomogr 2022 May-Jun 01;46(3):363-370. Epub 2022 Apr 8.

From the Department of Diagnostic Imaging, Pisa University Hospital.

Objective: The objective of this study is to determine the role of apparent diffusion coefficient (ADC) value at 3T magnetic resonance imaging (MRI) in the characterization of pancreatic cystic lesions.

Methods: We retrospectively selected a total number of 223 patients with a conclusive diagnosis of pancreatic cystic lesion, previously undergoing MR examination on a 3 T system. The MRI protocol first included axial T1/T2-weighted sequences and magnetic resonance cholangiopancreatography. Read More

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Structural imaging findings are related to clinical complications in chronic pancreatitis.

United European Gastroenterol J 2022 05 9;10(4):385-395. Epub 2022 Apr 9.

Department of Medicine, Haukeland University Hospital, Bergen, Norway.

Background/objectives: Structural pancreatic changes and complications related to chronic pancreatitis are well described, but little is known about their relationship. We aimed to explore the associations between pancreatic morphology and clinical complications in a large chronic pancreatitis cohort.

Methods: The Scandinavian Baltic Pancreatic Club database collects registrations on patients with definite or probable chronic pancreatitis according to the M-ANNHEIM diagnostic criteria. Read More

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The endoscopic ultrasound features of pancreatic fluid collections: appearances can be deceptive!

Endoscopy 2022 06 5;54(6):563-564. Epub 2022 Apr 5.

Asian Institute of Gastroenterology, Hyderabad, India.

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