Volume 27, Issue 134, April 2023

A rare case of unusually large pseudocyst of pancreas treated unconventionally

Mrunmayee Sangamnerkar^1♦, Yuganshu Bisen¹, Raju K Shinde², Shubham Gupta³, Ashna Mohanan¹,Taanvi Bhasin¹

¹Medical Intern, Department of Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, Maharashtra, India
²Professor and Unit Incharge, Department of Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, Maharashtra, India
³Senior Resident, Department of Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, Maharashtra, India

^♦Corresponding author
Medical Intern, Department of Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, Maharashtra, India
ORCID: 0009-0006-7193-3176

ABSTRACT

The pancreatic pseudocyst is a collection of amylase-rich pancreatic secretions. It is the most prevalent pancreatic cystic lesion. Given that granulation tissue, not epithelium, lines the cyst, it is called a false cyst. The smaller sac is the most typical site for pseudocysts to form in both acute and chronic pancreatitis. In our case, the pseudocyst implausibly expanded to the left iliac fossa. Herein, we report a 32-year-old male patient with a history of chronic alcohol misuse dating back seven years. The pseudocyst measured 20 cm x 8.3 cm x 6.5 cm on CT imaging. The management of choice was surgical, where cystojejunostomy and jejunojejunostomy were performed to treat the patient.

Keywords: Pancreatic pseudocyst, cystojejunostomy, jejunojejunostomy, chronic pseudocyst

Medical Science, 2023, 27, e177ms2860

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DOI: https://doi.org/10.54905/disssi/v27i134/e177ms2860

Published: 03 April 2023