Giant Post-Inflammatory Pancreatic Cyst Associated with Giant Abdominal Hernia - a Case Report

• Authors: Dawid Murawa , Piotr Nowaczyk , Beata Adamczyk
• Languages of publication: EN

Abstracts

EN

The case of a patient who developed a giant post-inflammatory pancreatic cyst, which resulted in the development of a giant abdominal hernia, is presented. The cyst developed as a consequence of earlier shortcomings in the diagnostic and therapeutic process; cyst development was also due to the patient's irresponsible approach to the problem. The patient did not present any typical symptoms of pancreatic pseudocyst. He reported to the Surgical Outpatient Clinic in the Wielkopolska Cancer Centre because of a reduced quality of life caused by a giant abdominal hernia. Basic laboratory tests and an abdominal CT were conducted, and a decision was reached regarding laparotomy. The pseudocyst was anastomosed with the intestinal wall on Roux-en-Y loop. A prolene net was applied simultaneously, due to the extensive defects in the abdominal integuments. In this case, treatment should have been implemented at a much earlier stage, without exposing the patient to the consequences of basic disease and the presence of a foreign body (net) in the abdominal integuments.

Keywords

EN

acute pancreatitis; chronic pancreatitis; pancreatic cysts; giant pancreatic pseudocyst; giant abdominal hernia

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2008
• Volume: 80
• Issue: 7
• Pages: 389-394

Dates

published

1 - 7 - 2008

online

23 - 7 - 2008

Contributors

author

Dawid Murawa

• 1st Clinic of Surgical Oncology and General Surgery, Wielkopolska Cancer Center, Poznañ

author

Piotr Nowaczyk

• 1st Clinic of Surgical Oncology and General Surgery, Wielkopolska Cancer Center, Poznañ

author

Beata Adamczyk

• 1st Clinic of Surgical Oncology and General Surgery, Wielkopolska Cancer Center, Poznañ

References

• Dąbrowski A, Jurkowska G, Wereszczyñska-Siemiątkowska U:. Choroby trzustki. W: Szczeklik A. (red.): Choroby wewnętrzne, tom I. Wyd. 1. Medycyna Praktyczna, Kraków 2005; 872-75.
• D'Edigio A, Schein M:. Pancreatic pseudocyst: a proposed classification and its management implications. Br J Surg 1991; 78: 981-84.
• Jacyszyn A, Marcol W, Tokarzewski W i wsp.:. Nietypowy przypadek olbrzymiej torbieli rzekomej trzustki leczonej drenażem przezskórnym (An untypical case of giant pancreas pseudocyst treated with transcutaneus drainage). Gastroenterol Pol 1999; 6: 467-70.
• Markocka-Mączka K, Grabowski K, Taboła R:. Chirurgiczne leczenie rzekomych torbieli trzustki (Surgical treatment of pancreatic pseudocysts). Gastroenterol Pol 2007; 14: 117-20.
• Andrén-Sandberg A, Dervenis C:. Pancreatic Pseudocysts in the 21st Century. Part I: Classification, Pathophisiology, Anatomic Considerations and Treatment. J Pancreas 2004; 5: 8-24.
• Popiela T, Kędra B:. Trzustka. W: Noszczyk W (red.): Chirurgia, tom 2. Wyd. 1. Wydawnictwo Lekarskie PZWL, Warszawa 2005; 853-54.
• Gasslander T, Arnelo U, Albiin N et al.:. Cystic Tumors of the Pancreas. Dig Dis 2001; 19: 57-62.[Crossref]
• Okabe Y, Tsuruta O, Wada Y et al.:. Endoscopic Ultrasonography-Guided Cystogastrostomy for Large Pancreatic Pseudocyst with Obstructive Jaundice - A Case Report. Kurume Med J 2006; 53: 89-94.[Crossref]
• Hsieh CH, Tseng JH, Huang SF:. Co-existence of a huge pseudocyst and mucinous cystadenoma: report of a case and the value of magnetic resonance imaging for differential diagnosis. Eur J Gastroenterol Hepatol 2002; 14: 191-94.[PubMed][Crossref]
• Szczęsny T, Guzowska A:. Przypadek dużego zbiornika płynu trzustkowego w opłucnej wyleczonego przezskórną aspiracją (A case of a large pancreatic pseudocyst in pleural cavity treated with percutaneous needle aspiration). Pneumonol Alergol Pol 1997; 65: 657-62.
• Soliani P, Ziegler S, Franzini C et al.:. The size of pancreatic pseudocyst does not influence the outcome of invasive treatments. Digest Liver Dis 2004; 36: 135-40.[Crossref]
• Andrén-Sandberg A, Dervenis C:. Pancreatic Pseudocysts in the 21st Century. Part II: Natural History. J Pancreas 2004; 5: 64-70.
• Oria A, Ocampo C, Zandalazini H et al.:. Internal Drainage of Giant Acute Pseudocysts. The Role of Video-Assisted Pancreatic Necrosectomy. Arch Surg 2000; 135: 136-40.[Crossref]
• Lippl F, Eibel R, Heldwein W:. Hepatobiliary and pancreatic: Large pancreatic pseudocyst. J Gastroenterol Hepatol 2006; 21: 1629.[PubMed][Crossref]
• Jaszczuk E, Graczyk M, Kozak J i wsp.:. Olbrzymia torbiel rzekoma trzustki penetrująca do śródpiersia przyczyną narastającej niedrożności dróg oddechowych i zgonu chorego - opis przypadku (A large pancreatic pseudocyst penetrating into mediastinum causes progressive airways occlusion and death - case report). Przegl Lek 2001; 58: 530-32.
• Welsch T, Kleeff J, Esposito I et al.:. Autoimmune pancreatitis associated with large pancreatic pseudocyst. World J Gastroenterol 2006; 12: 5904-06.
• Ductal Adenocarcinoma of the Pancreas with Huge Cystic Degeneration: A Lesion to Be Distinguished from Pseudocyst and Mucinous Cystadenoma. Int J Surg Pathol 2003; 11: 235-39.
• Golash Y, Cutress R:. Laparoscopic cystogastrostomy for a giant pseudocyst of pancreas. Surgeon 2005; 3: 37-41.[PubMed]
• Nakeeb A, Lillemoe KD, Cameron JL:. Procedures for bening and malignant pancreatic disease. W: Souba WW (red.): ACS Surgery: Principles and Practise. Wyd. 6. Webmd Professional Publishing 2007.
• Brown SP, Williamson RCN:. Giant pancreatic pseudocysts: procedures in management. Paper discussion. HPB Surg 1992; 6: 129-31.[Crossref]
• Gołąbek K, Kardel E, Hać S i wsp.:. Diagnosis and treatment of cystic lesions of the pancreas - still might be a mystery. Case Rep Clin Pract Rev 2006; 7: 166-69.

Identifiers

DOI

10.2478/v10035-008-0052-z