1/17. Pancreatic pseudocysts of the duodenum.A pancreatic pseudocyst within the wall of the duodenum is presented. Its radiographic features were analyzed and comprehensively compared with 10 proved cases. These pseudocysts can be intramural or extrinsic severely compressive lesions. The occurrence of these pseudocysts at multiple sites throughout the gastrointestinal tract emphasizes the need to consider them in the differential diagnosis of severe extrinsic compressive or intramural lesions.- - - - - - - - - - ranking = 1keywords = pancreatic pseudocyst, pseudocyst (Clic here for more details about this article) |
2/17. Duodenal pancreatic heterotopy diagnosed by magnetic resonance cholangiopancreatography: report of a case.We describe herein the case of a heterotopic pancreas that caused stenosis in the second portion of the duodenum. A 46-year-old man presented with upper abdominal pain and a 12-month history of intermittent vomiting. There was no history of melena, hematochezia, hematemesis, clay-colored stools, jaundice, or hepatitis and he did not describe any food dyscrasias, although fatty foods and alcohol seemed to make the symptoms worse. No specific medication or change in position relieved the pain. An initial diagnosis of chronic pancreatitis with multiple pseudocysts was made on the basis of elevated serum amylase and lipase levels, and abdominal ultrasonography and computed tomography (CT) findings. Medical treatment with octreotide was given for 8 weeks, but without any marked effect. Double-contrast barium examination and esophagogastroduodenoscopy were not diagnostic. Magnetic resonance (MR) cholangiopancreatography revealed findings indicative of cystic dystrophy of a heterotopic pancreas (CDHP), and an endoscopy supported this diagnosis. A pancreatoduodenectomy was performed and pathological examination confirmed a diagnosis of CDHP. In our opinion, MR cholangiopancreatography is the diagnostic tool of choice when CDHP is suspected.- - - - - - - - - - ranking = 0.053984580569keywords = pseudocyst (Clic here for more details about this article) |
3/17. Duodenal duplication cyst: beware of the lesser sac collection.A 11-month-old boy presented with a 4-month history of failure to thrive. His initial presentation was highlighted by fever, postprandial abdominal pain and lethargy. The diagnosis was elusive despite extensive investigations. A contrast enhanced abdominal computerised tomogram (CT) suggested the presence of a pancreatic pseudocyst. At laparotomy, a lesser sac collection was drained and the patient's general condition improved. Three weeks postoperatively, the symptoms recurred and a second contrast enhanced abdominal CT revealed a duodenal duplication cyst. A 6.5-cm duodenal duplication cyst communicating with the fourth part of the duodenum was resected in its entirety with resolution of the patients' symptoms and establishment of adequate growth.- - - - - - - - - - ranking = 0.676092516586keywords = pancreatic pseudocyst, pseudocyst (Clic here for more details about this article) |
4/17. Spontaneous internal drainage of pancreatic pseudocysts.Six cases are reported in which spontaneous internal drainage between a pancreatic pseudocyst and the alimentary tract became established. In each instance the communication was demonstrated radiologically. The clinical circumstances and radiographic features of these cases are described, and the existing literature pertaining to this phenomenon is reviewed.- - - - - - - - - - ranking = 3.38046258293keywords = pancreatic pseudocyst, pseudocyst (Clic here for more details about this article) |
5/17. Computed tomography of duodenal diverticula.Duodenal diverticula are common and usually considered to be incidental findings. However, they may cause significant patient morbidity due to inflammatory or pressure effects and may be mistaken for pancreatic pathology on CT. We correlated the CT and upper gastrointestinal series appearance of duodenal diverticula in 14 patients, including two patients in whom erroneous diagnoses of pancreatic pseudocyst and pancreatic abscess were suggested based on CT findings. The duodenal diverticulum was visualized on CT in 10 of 14 patients (71%). The CT appearance was variable, with some diverticula containing air, fluid, contrast medium, or a mixture of the three.- - - - - - - - - - ranking = 0.676092516586keywords = pancreatic pseudocyst, pseudocyst (Clic here for more details about this article) |
6/17. Aortocystoduodenal fistula: rare complication of pancreatic pseudocyst.An upper gastrointestinal tract hemorrhage resulting from an aortocystoduodenal fistula developed in a patient with a pancreatic pseudocyst. The fistula was exposed through a duodenotomy, necrotic material was debrided from the pseudocyst and the aortic wall, the aortic defect was closed primarily, and the pseudocyst was drained through a cystoduodenostomy. The case is discussed as a rare hemorrhagic complication of pancreatic pseudocysts and as an illustration that under certain circumstances of infection in areas where aortic bypass can be difficult to perform, primary vascular repair can be a successful method of managing aortoenteric fistulas.- - - - - - - - - - ranking = 4.164524260654keywords = pancreatic pseudocyst, pseudocyst (Clic here for more details about this article) |
7/17. Varicella pancreatitis complicated by pancreatic pseudocyst and duodenal obstruction.Several viral infections, including mumps, coxsackie B, and infectious mononucleosis, have been associated with acute pancreatitis; however, varicella infection has not previously been associated with this complication. A 29-year-old man was admitted to the hospital with severe abdominal pain and hyperamylasemia several days following the onset of a characteristic varicella skin rash. His son had been diagnosed with varicella one week earlier. The hospital course was complicated by the development of pseudocysts in the head and tail of the pancreas which caused partial obstruction of the common bile duct and duodenum. The pancreatitis, pseudocysts, and duodenal obstruction resolved with conservative medical management. This is the first report of acute pancreatitis associated with varicella infection.- - - - - - - - - - ranking = 2.812339227482keywords = pancreatic pseudocyst, pseudocyst (Clic here for more details about this article) |
8/17. Pseudo-pseudocysts of the pancreas.pancreatic pseudocyst was erroneously diagnosed in three patients aged 52-57 years. Two patients had acute epigastric pain, hyperamylasemia (approximately 4,000 IU/L), and a retrogastric collection of fluid demonstrated by early ultrasonography. laparotomy undertaken within 48 h of admission revealed the correct diagnosis in each case. One patient had perforation of a gastric ulcer into the lesser sac, and the other patient (who died) had perforation of an obstructed afferent loop 25 years after Polya partial gastrectomy. The third patient with renal failure, back pain, and marginal hyperamylasemia had a cystic mass in the lesser sac. Two internal drainage operations were performed before the correct diagnosis of epithelioid leiomyoma was established 6 years later.- - - - - - - - - - ranking = 0.269922902845keywords = pseudocyst (Clic here for more details about this article) |
9/17. Pancreatic duct disruption and duodenal hematoma associated with endoscopic retrograde cholangiopancreatography.We have reported a case of intraduodenal duct disruption and duodenal hematoma associated with ERCP. The location of the extravasated contrast material created a confusing picture, which preoperatively was thought to be a pseudocyst, but was found at operation to be a duodenal hematoma. In retrospect, the upper gastrointestinal series done immediately after ERCP was very helpful. We believe that an upper GI series done immediately after ERCP will help determine the location of unusual collections of contrast material seen at ERCP.- - - - - - - - - - ranking = 0.053984580569keywords = pseudocyst (Clic here for more details about this article) |
10/17. Pyloric exclusion in the management of complicated duodenal and pancreatic disease.Pyloric exclusion with gastrojejunostomy has been shown to be an effective adjuvant in the treatment of severe duodenal and pancreatic trauma. The authors have successfully applied this technique to the treatment of two patients with complicated pancreatic pseudocysts drained by cyst duodenostomy. A third patient with malignant duodenocolic fistula was palliated with this modality but eventually succumbed to his advanced disease.- - - - - - - - - - ranking = 0.676092516586keywords = pancreatic pseudocyst, pseudocyst (Clic here for more details about this article) |
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