Year 2023 / Volume 115 / Number 2
Letter
Spontaneous drainage of a pancreatic pseudocyst into the stomach

95

DOI: 10.17235/reed.2022.8999/2022

Yanjun Dong, Jun Li,

Abstract
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. Computed tomography (CT) of the abdomen showed a cystic mass in the greater curvature with homogeneous water like density. Similar round-like cystic masses with homogeneous water like density were also revealed in pancreas and spleen. Esophagogastroduodenoscopy revealed a eminence lesion in the fundus and corpus of the stomach. Endoscopic ultrasonography revealed a homogeneous hypoechoic mass in the fundus and corpus junction, measuring 4.6 cm × 2.7 cm. Magnetic resonance (MR) images showed multiple cystic masses with ring-like enhancement in the greater curvature, spleen and pancreatic tail. The patient was diagnosed as multiple pseudocysts due to pancreatitis and treated conservatively with anti-infection, acid suppression and inhibition of pancreatic secretion. He recovered with resolution of abdominal pain. The patient was feeling well at 8 months of follow-up.
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References
1.Somani PO, Jain SS, Shah DK, Khot AA, Rathi PM. Uncomplicated spontaneous rupture of pancreatic pseudocyst into stomach: A case report. World J Gastrointest Endosc. 2013; 5: 461-464.
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Publication history

Received: 10/06/2022

Accepted: 19/06/2022

Online First: 24/06/2022

Published: 07/02/2023

Article Online First time: 14 days

Article editing time: 242 days


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