International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Open Access | Fully Refereed | Peer Reviewed

ISSN: 2319-7064




Downloads: 118

Case Studies | Medical Surgical | India | Volume 7 Issue 2, February 2018


An Unusual Case of Spontaneous Communication between Pancreatic Pseudocyst and Duodenum - A Case Report

Dr Bhargavi Botlagunta, Dr. Ganaraj Kulamarva


Abstract: Pancreatic pseudocysts are encountered frequently, but spontaneous communication is seen in less than 3 % cases. Perforation into peritoneal cavity, gastrointestinal tract, portal vein, pleural cavity has been reported. Spontaneous rupture of the pancreatic pseudocyst into the surrounding hollow viscera is rare and, may be associated with haemorrhage. In such cases emergency surgical intervention is the mainstay of management. Uncomplicated rupture of pseudocyst has not been reported frequently and is a rare presentation. We present an unusual case of pancreatic pseudocyst with duodenal connection without bleeding. A 45 year old male with a large pancreatic pseudocyst resulting from a complication of necrotizing pancreatitis came to our hospital with generalised weakness and exertional breathlessness since 1 week. Computed tomography (CT) revealed pancreatic pseudocyst and communication between pseudocyst and duodenum suggestive of spontaneous cysto duodenal fistula. Esophagogastroduodenoscopy (EGD) showed a fistula between pancreatic pseudocyst and duodenum, and the patient recovered without any complication or need for surgical treatment. Patient was managed conservatively


Keywords: Chronic pancreatitis, Cystoduodenal fistula, Pancreas, Pancreatitis, Pseudocyst


Edition: Volume 7 Issue 2, February 2018,


Pages: 1089 - 1091


How to Cite this Article?

Dr Bhargavi Botlagunta, Dr. Ganaraj Kulamarva, "An Unusual Case of Spontaneous Communication between Pancreatic Pseudocyst and Duodenum - A Case Report", International Journal of Science and Research (IJSR), https://www.ijsr.net/get_abstract.php?paper_id=ART2018263, Volume 7 Issue 2, February 2018, 1089 - 1091

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