Pseudopancreatic cyst invasion into spleen: Case report and review

Goyal, Sunder; Goyal, Snigdha; Garg, Mohinder Kumar; Garg, Uma

doi:10.4103/0971-9903.138443

Cited by 1 publication

(5 citation statements)

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“…In our study, such clinical manifestations as pain in the upper left quadrant of the abdomen and left hypochondrium left-sided referred shoulder pain prevailed. Clinical symptoms were supplemented by fever and enhanced blood tests for inflammatory markers, as well as pleural effusion [6,15,20,21].…”

Section: Discussionmentioning

confidence: 99%

“…In some cases, endo-ultrasound is also a useful method for assessing the structure of cysts, the possible presence of necrotic sequesters, especially in the case of a polycyclic form of formation with leaks. It is useful for determining the choice of treatment method, as well as in navigation [13,20,21].…”

Section: Discussionmentioning

confidence: 99%

“…Management depends on the size of the pancreatogenic pseudocyst of the spleen, its topography and the presence/absence of a connection with the pancreatic duct. For small cysts, a conservative approach is considered effective [20]. Conservative therapy should be preferred, if possible, due to the high incidence of infectious complications after splenectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopic drainage depends on the anatomy and topography of the pseudocyst and can be performed transpapillary (using endoscopic retrograde cholangiopancreatography) or transmurally. Transpapillary drainage is safer and more effective than transmural drainage, but the cyst must communicate with the pancreatic duct [20,29].…”

Section: Discussionmentioning

confidence: 99%

“…Patients with splenic vein thrombosis and local (segmental) portal hypertension are at high risk of ruptured spleen and expectant management can be dangerous [6]. In patients with massive damage to the splenic parenchyma or signs of perisplenal bleeding, it may be necessary to embolize the splenic artery [20].…”

Section: Discussionmentioning

confidence: 99%

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Pancreatogenic Splenic Pseudocysts: Pathogenesis, Diagnosis and Treatment

Aleksandrovna¹,

Dmitry²,

Alimurzaeva³

et al. 2020

SCR

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Background: Pancreatogenic splenic pseudocysts are a relatively rare condition. Intra-splenic localization is of the splenic pseudocysts is dangerous because of the possibility of massive haemorrhage and organ rupture. Aim: To analyse our experience in the diagnosis and treatment of pancreatogenic pseudocysts of the spleen. Materials and Methods: The analysis of the short and long-term results of treatment of the 34 patients with pancreatogenic splenic pseudocysts (extrapancreatic localization) (1985-2019) was performed. In the study, the majority of male patients - 88.2%, the age of patients was 45 ± 7 years. Results: Percutaneous drainage under US-control was performed in 11 (32.4%) patients, distal pancreatic resection with splenectomy was performed in 23 (67.6%) in the cases of pancreatic tail calcific pancreatitis. In all cases of percutaneous treatment, a high level of amylase was found in the fluid from pseudocysts. Bacteriological confirmation of the growth of any bacteria in the content was not obligatory. Suppuration of the fluid of the pseudocyst was observed in 85.3% of the cases. Conclusion: Pancreatogenic pseudocysts of the spleen are one of the complications of destructive pancreatitis. They can remain undiagnosed for a long time, become infected and aggravate the course of the disease. They are often the cause of the development of sepsis and peritonitis due to the rupture of the organ capsule and bleeding into the abdominal cavity. The use of percutaneous minimally invasive methods of treatment for intra-organ pancreatogenic pseudocysts makes it possible to improve the results of treatment in this group of patients, and also, in the optimal case, be the final method of treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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