Journal List > Korean J Gastroenterol > v.59(2) > 1006918

Lee, Lee, Ryu, Rim, Jeong, Kim, Choi, and Kang: A Case of Splenic Pseudocyst Complicated by Acute Pancreatitis

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.

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
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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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