Pancreatic Pseudocysts: Complications and Their Relation to the Timing of Treatment

Balfour, John F.

doi:10.1016/s0039-6109(16)39087-9

Cited by 27 publications

(2 citation statements)

References 9 publications

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“…In the abdomen, if there is no internal pancreatic fistula between the pancreatic duct and the fluid collection, percutaneous [13] or internal surgical drainage has been advocated. If however, the patient is acutely ill (as in our case) the abdominal collection can be drained externally [3,4] but the recurrence rate is high and fistula drainage may persist for a long time [4,14]. If however, the patient is acutely ill (as in our case) the abdominal collection can be drained externally [3,4] but the recurrence rate is high and fistula drainage may persist for a long time [4,14].…”

Section: Discussionmentioning

confidence: 99%

Demonstration of an internal pancreatic fistula by computed tomography

Weiner

Das

Gold

et al. 1984

Gastrointest Radiol

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Section: Discussionmentioning

confidence: 99%

Demonstration of an internal pancreatic fistula by computed tomography

Weiner

Das

Gold

et al. 1984

Gastrointest Radiol

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“…Χρειάζεται άμεση χειρουργική επέμβαση [125]. Η θνητότητα κυμαίνεται από 10%, όταν αντιμετωπιστεί εγκαίρως χειρουργικά (ανασκό πηση 401 περιπτώσεων από 6 σειρές [152]) έως 80%, σε συντηρητική αντιμετώπιση [49], με συνολικό μέσο όρο 60% [479]. [152]).…”

Section: επιπλοκέςunclassified

Τραυματα Παγκρεατος Σε Κλειστη Κοιλιακη Κακωση

Καλαβρουζιωτησ¹

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Traumatic Pseudocysts of the Pancreas

Tucker¹

1972

Arch Intern Med

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Traumatic injuries to the pancreas have frequently been overlooked in considering causes of intra-abdominal disease. This report presents experience gained in the diagnosis and management of ten patients with traumatic pseudocysts of the pancreas. Eight of the patients had blunt trauma to the pancreas while two had penetrating wounds with pancreatic injury as a secondary complication. All of the patients presented difficult problems in diagnosis. Three of the patients demonstrated marked ascites. X-ray films of the upper-gastrointestinal tract were most helpful in directing attention toward the pancreas. Diagnosis was usually established when measurements of serum and ascitic fluid amylase were performed. When the nature of the illness was recognized and appropriate therapy initiated, the patients usually recovered rapidly.All too frequently trauma to the . pancreas has been unsuspected because (1) the pancreas was rarely injured; (2) the severity of trauma frequently seemed insufficient to ac-count for injury to the pancreas; and (3) onset of complaints frequently followed injury by weeks. Trauma caused one third of pancreatic pseudocysts seen at the Medical College of Georgia, Augusta, during the past ten years. Our experience suggests that the physician's ability to diagnose and treat traumatic pancreatic pseudocyst depends upon his awareness of the diverse ways of presentation. When pseudocyst was suspected, the diagnosis was readily made; conversely, when a pseudocyst was not suspected, diagnosis was delayed.This report presents brief case histories of two patients and pertinent clinical information and experience gained in ten patients with pancreatic pseudocyst secondary to trauma. Patient SummariesPatient 1 (ETMH 035-559).\p=m-\Thispatient, an 8-year-old boy, was hospitalized for abdominal pain, nausea, and vomiting which developed after he was pinned between a car trailer and a house. The vomiting and pain subsided and the patient was discharged. Abdominal distention developed during the following month. A laparotomy was performed which revealed as-cites and an "injured but healing pancreas." The patient rapidly recovered following surgery and was discharged from the hospital; however, because of reaccumulation of ascites and progressive weight loss, he was referred to Eugene Talmadge Memorial Hospital (ETMH) four months following the accident. A diagnostic paracentesis revealed peritoneal fluid containing 1.3 gm/100 ml protein and 35,000 units amylase. Serum amylase value expressed in Somogyi units was 1,372 (normal serum values: 50 to 150 units). A series of x-ray films of the upper\x=req-\ gastrointestinal tract demonstrated a mass displacing the stomach to the right and anteriorly.A second laparotomy was performed and a pancreatic pseudocyst containing 5,300 ml of straw-colored fluid was identified and drained through a cystgastrostomy. Four days postoperatively the serum amylase level was 274 units. The patient recovered from surgery and was well two years later.Comment.\p=m-\Admittingdiagnoses incl...

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Pancreatic Pseudocysts: Complications and Their Relation to the Timing of Treatment

Cited by 27 publications

References 9 publications

Demonstration of an internal pancreatic fistula by computed tomography

Demonstration of an internal pancreatic fistula by computed tomography

Τραυματα Παγκρεατος Σε Κλειστη Κοιλιακη Κακωση

Traumatic Pseudocysts of the Pancreas

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