A RARE CASE OF THORACO-ABDOMINAL PSEUDOCYST OF PANCREAS: MANAGED BY ROUX-EN-Y CYSTOJEJUNOSTOMY
Journal Title: Journal of Indira Gandhi Institute of Medical Sciences - Year 2019, Vol 5, Issue 1
Abstract
Abstract Pancreatic pseudocysts are complications of acute orchronic pancreatitis. Most common site of pseudocyst is lesser sac. Mediastinal extension of pseudocyst is rare.Most pseudocystsresolve spontaneously with conservative management. The size and durationof pseudocyst formationhas been present as poor predictors forpseudocyst resolution, but in general,larger cysts are more likely to be symptomatic or causecomplications. This patient presented withheaviness in chest and dysphagia. Computed tomography abdomen and thorax showed a large thoraco-abdominal pseudocyst. It was confirmed to be pancreatic pseudocyst by analyzing fluid for amylase and lipase intraoperatively. In our patient, the pseudocyst was accessible transabdominaly. Cystogastrostomy was not possible as cyst wall was not adhered with stomach. So, we did retrocolic and retrogastric Roux-en-Y cystojejunostomy.
Authors and Affiliations
Sanjay Kumar
Keywords
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