A Case of Obstructive Jaundice due to Pancreatic Pseudocyst

Dr. C. Priyadharshini

Abstract: In this case study, a 34-year-old male patient with a history of alcoholism and diabetes presents a compelling example of chronic calcific pancreatitis complicated by a pancreatic pseudocyst, leading to obstructive biliopathy. The patient?s symptoms-jaundice, itching, pale stools, and weight loss-coupled with a palpable epigastric lump, paint a vivid picture of the clinical burden imposed by a 7.6 cm thick-walled cystic lesion in the pancreatic body. This mass, as revealed by MRCP and ultrasound imaging, exerts significant pressure on the common bile duct, splenic vein, and portal vein, resulting in biliary obstruction and markedly elevated liver function tests, with total bilirubin reaching 17.5 mg/dl. In my view, the decision to pursue an anterior gastrostomy followed by cystogastrostomy and ERCP with CBD stenting reflects a thoughtful, multi-step approach to alleviate biliary symptoms and address the pseudocyst?s compressive effects. While post-procedure outcomes show a reduction in bilirubin and alkaline phosphatase levels, the mild increase in pseudocyst size on repeat imaging raises questions about the long-term efficacy of this intervention. This suggests that, despite initial success, ongoing monitoring and possibly more definitive surgical measures, such as laparoscopic cystogastrostomy, are warranted. It is evident that this case underscores the complexity of managing pancreatic pseudocysts when they encroach on critical structures, offering valuable insights into the balance between immediate relief and sustained resolution in such intricate scenarios.

Keywords: pancreatic pseudocyst, chronic pancreatitis, obstructive biliopathy, cystogastrostomy, ERCP stenting

How to Cite?: Dr. C. Priyadharshini, "A Case of Obstructive Jaundice due to Pancreatic Pseudocyst", Volume 14 Issue 3, March 2025, International Journal of Science and Research (IJSR), Pages: 1555-1556, https://www.ijsr.net/getabstract.php?paperid=SR25327170257, DOI: https://dx.doi.org/10.21275/SR25327170257