A Rare Case Report of Hepatic Subcapsular Pseudocyst of Pancreas
Published: December 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/21843.9087
Noor Topno, Sandeep Ghosh, Arup Baruah
1. Professor and Head, Department of General Surgery, NEIGRIHMS, Shillong, Meghalaya, India.
2. Student, Department of General Surgery, NEIGRIHMS, Shillong, Meghalaya, India.
3. Associate Professor, Department of General Surgery, NEIGRIHMS, Shillong, Meghalaya, India.
Correspondence
Dr. Noor Topno,
Professor and Head, Department of General Surgery, NEIGRIHMS, Shillong-793018, Meghalaya, India.
E-mail: noortopno@gmail.com
A pancreatic pseudocyst arises as a result of acute or chronic pancreatitis, pancreatic trauma, or obstruction of the pancreatic duct by a neoplasm. Most of the pseudocysts are located within the head and the body of the pancreas but 20% are extra-pancreatic. We report a case of a 33-year-old gentleman presenting with acute on chronic alcoholic pancreatitis with hepatic sub-capsular pseudocyst involving left lobe of liver, with intra-cystic bleed was successfully treated with Ultrasonography (USG) guided drainage. Computed tomography (CT) and high level of amylase in the collection plays an important role in diagnosing this condition. Large hepatic sub-capsular pseudocyst presenting with severe pain due to intra-cystic bleed can be treated with percutaneous drainage to pre-empt rupture.
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