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Lee, Lee, Ryu, Rim, Jeong, Kim, Choi, and Kang: A Case of Splenic Pseudocyst Complicated by Acute Pancreatitis
Case Report
The Korean Journal of Gastroenterology

The Korean Journal of Gastroenterology 2012; 59(2): 193-196.

Published online: 23 February 2012

DOI: https://doi.org/10.4166/kjg.2012.59.2.193

A Case of Splenic Pseudocyst Complicated by Acute Pancreatitis

Han Na Lee, Tae Hee Lee, Ki Hyun Ryu, Sung Min Rim, In Beom Jeong, Yong Seok Kim, Young Woo Choi, Young Woo Kang

Department of Internal Medicine, College of Medicine, Konyang University, Daejeon, Korea.

Correspondence to: Tae Hee Lee, Department of Gastroenterology and Hepatology, Konyang University College of Medicine, 685 Gasuwon-dong, Seo-gu, Daejeon 302-718, Korea. Tel: +82-42-600-9370, Fax: +82-42-600-9095, green740@naver.com

Received 6 December 2010       Revised 18 January 2011       Accepted 18 January 2011

Copyright © 2012 The Korean Society of Gastroenterology

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 4.0×4.5 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 9.5×4.5×10.0 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.

Keywords: Pancreatitis, Spleen, Pancreatic pseudocyst

Figures and Tables

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).
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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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Table 1
Reports of Splenic Pseudocyst in Korean Literature
kjg-59-193-i001

PCD, percutaneous catheter drainage.

aSurgery means distal pancreatectomy with Roux-en Y pancreatico-jejunostomy and splenectomy, bthis case.

Notes

Financial support: None.

Conflict of interest: None.

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