A case of intraabdominal penetration of bleeding in a pancreatic retention cyst
A 47-year-old man who had been treated for diabetes mellitus, chronic hepatitis B, and hepatic cirrhosis was seen at another hospital because of upper abdominal pain. Bleeding in a pancreatic cyst was diagnosed and conservative therapy was started, but the bleeding could not be controlled. The patie...
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Published in | Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 72; no. 12; pp. 3140 - 3144 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | Japanese English |
Published |
Japan Surgical Association
2011
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Subjects | |
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Abstract | A 47-year-old man who had been treated for diabetes mellitus, chronic hepatitis B, and hepatic cirrhosis was seen at another hospital because of upper abdominal pain. Bleeding in a pancreatic cyst was diagnosed and conservative therapy was started, but the bleeding could not be controlled. The patient was thus brought into our hospital. When he arrived at our hospital, he was in a pre-shock state and an abdominal CT scan showed large quantities of ascites and a monolocular cyst about 4 cm in diameter at the pancreas head. Intraabdominal penetration of bleeding in the pancreatic cyst was diagnosed. His general condition was extremely poor. We determined that conservative therapy could not save his life and performed emergency operation. The operation was very difficult due to severe adhesions caused by inflammation around the pancreas head, but eventually pylorus-preserving pancreatoduodenectomy (PPPD) was done. The patient's postoperative course was uneventful and he was discharged from our hospital on his feet on the 40th hospital day. The histopathological diagnosis was pancreatic retention cyst. Few cases of pancreatic retention cyst have been reported so far. We often hesitate to employ surgical therapy for the patients in poor general condition, but it is the only option for saving their lives if conservative therapies are ineffective. We have to consider the surgical therapy aggressively in such cases. |
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AbstractList | A 47-year-old man who had been treated for diabetes mellitus, chronic hepatitis B, and hepatic cirrhosis was seen at another hospital because of upper abdominal pain. Bleeding in a pancreatic cyst was diagnosed and conservative therapy was started, but the bleeding could not be controlled. The patient was thus brought into our hospital. When he arrived at our hospital, he was in a pre-shock state and an abdominal CT scan showed large quantities of ascites and a monolocular cyst about 4 cm in diameter at the pancreas head. Intraabdominal penetration of bleeding in the pancreatic cyst was diagnosed. His general condition was extremely poor. We determined that conservative therapy could not save his life and performed emergency operation. The operation was very difficult due to severe adhesions caused by inflammation around the pancreas head, but eventually pylorus-preserving pancreatoduodenectomy (PPPD) was done. The patient's postoperative course was uneventful and he was discharged from our hospital on his feet on the 40th hospital day. The histopathological diagnosis was pancreatic retention cyst. Few cases of pancreatic retention cyst have been reported so far. We often hesitate to employ surgical therapy for the patients in poor general condition, but it is the only option for saving their lives if conservative therapies are ineffective. We have to consider the surgical therapy aggressively in such cases. |
Author | MIHARA, Motohiro SUEYOSHI, Koichiro KAJIKAWA, Shoji SHIMADA, Kou YAZAWA, Kazuyuki SHIROTA, Hiroshi |
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References | 1) 木村 理:嚢胞性膵疾患の病理と臨床.Med Pract 2001;18:961-966 5) 高橋 浩,三浦義明,山田宏之他:慢性膵炎に合併した貯留嚢胞内出血の1例.日消誌 1997;94:792-797 12) Nusbaum M, Baum S : Radiographic demonstration of unknown sites of gastrointestinal bleeding. Surg Forum 1963 ; 14 : 374-377 6) 高木幸浩,森 茂,水井慎一郎他:22歳女性に発症した膵貯留嚢胞内出血の1例.外科治療 2000;82:247-250 9) Greenstein A, DeMaio EF, Nabseth DC : Acute hemorrhage associated with pancreatic pseudocysts. Surgery 1971 ; 69 : 56-62 2) 松野浩一,山口淳正,迫田晃郎他:消化管出血で発見された膵嚢胞の1例.Gastroenterol Endosc 1987;29:2501-2505 11) Bardenheier JA III, Qunitero O, Barner HB : False aneurysm in a pancreatic pseudocyst. Ann Surg 1970 ; 172 : 53-55 4) 石田英文,長田 裕,望月健介他:嚢胞内出血を来たした膵真性嚢胞の1例.膵臓 1992;7:83-89 8) Sandblom P : Gastrrointestinal hemorrhage through the pancreatic duct. Ann Surg 1970 ; 171 : 61-66 10) Dardik I, Dardik H : Patterns of hemorrhage into pancreatic aseudocysts. Am J Surg 1968 ; 115 : 774-776 7) 吉田基巳,松山秀樹,杉山勇治他:Vater乳頭開口部からの出血を確認しえた膵貯留嚢胞内出血の1例.膵臓 1998;13:57-62 3) 田口久雄,河野健次,石橋美和他:吐・下血を主徴とした膵嚢胞内出血の1症例.肝・胆・膵 1990;21:1175-1181 1 2 3 4 5 6 7 8 |
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Title | A case of intraabdominal penetration of bleeding in a pancreatic retention cyst |
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