Korean J Gastroenterol.  2012 Feb;59(2):193-196. 10.4166/kjg.2012.59.2.193.

A Case of Splenic Pseudocyst Complicated by Acute Pancreatitis

• Lee HN
• Lee TH
• Ryu KH
• Rim SM
• Jeong IB
• Kim YS
• Choi YW
• Kang YW

• KMID: 1792827
• DOI: http://doi.org/10.4166/kjg.2012.59.2.193

Abstract

Splenic pseudocyst is a rare disease associated with chronic and acute pancreatitis splenic pseudocyst is treated by distal pancreatectomy and splenectomy. A 47-year old woman with a 10-year history of alcohol abuse presented with epigastric and left upper quadrant pain of 3 days duration. Abdominal CT showed a 4.0x4.5 cm sized cystic lesion in the tail of the pancreas. Analgesics was administrated for the relief of abdominal pain. On the 4th hospital day, the patient complained more of left upper quadrant pain, so we took follow up CT scans. On follow up CT, one large splenic pseudocyst with size of 9.5x4.5x10.0 cm was noted. The patient was treated conservatively by percutaneous catheter drainage and discharged on the 13th hospital day. This case is the first case report of splenic pseudocyst treated conservatively, not by surgery in Korea.

Keyword

Pancreatitis; Spleen; Pancreatic pseudocyst

MeSH Terms

Acute Disease
Alcoholism/diagnosis
Drainage
Female
Humans
Middle Aged
Pancreatic Pseudocyst/diagnosis
Pancreatitis/*complications
Splenic Diseases/etiology/*radiography/ultrasonography
Tomography, X-Ray Computed

Figure

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  Fig. 1 Initial abdominal CT findings. (A) There was a 3.2×2.4 cm sized pancreatic pseudocyst 2 years before the patient was admitted (arrow). (B) There was a 4.0×4.5 cm sized low density cystic lesion with hemorrhage on the pancreas body and tail on admission (arrow).

• 

  Fig. 2 Follow-up CT and sonographic findings. (A) Abdominal CT showed 9.8×4.3×10.0 cm sized cystic lesion in the spleen (arrows). (B) There was a 9.8 cm sized anechoic cystic mass in the spleen on ultrasound. Percutaneous catheter drainage was inserted.

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