A Case of Pancreatic Duct Leak Presenting as Lower Extremity Pain and Edema

Pancreatic pseudocyst from pancreatic duct leak is one of the common complications of both acute and chronic pancreatitis. The presentation of such leaks can range from patients being completely asymptomatic to septic shock. Extra-abdominal collections of fluid due to pancreatic duct leaks are very...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 13; no. 10
Main Authors Murthi, Mukunthan, Abusalim, Abdulrahman, Haque, Zohaib, Acob, Christine
Format Journal Article
LanguageEnglish
Published Palo Alto Cureus Inc 17.10.2021
Cureus
Subjects
Abdomen
Abscesses
Alcohol
Antibiotics
Asymptomatic
Bile ducts
Case reports
Collections
Cysts
Edema
Endoscopy
Enzymes
Erythema
Gastroenterology
Internal Medicine
Pain
Pancreas
Pancreatitis
Patients
Ultrasonic imaging
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Summary:Pancreatic pseudocyst from pancreatic duct leak is one of the common complications of both acute and chronic pancreatitis. The presentation of such leaks can range from patients being completely asymptomatic to septic shock. Extra-abdominal collections of fluid due to pancreatic duct leaks are very rare. We describe a diagnostically challenging patient with acute chronic pancreatitis presenting with lower extremity swelling and pain, who was found to have a pancreatic fluid leak into the right iliopsoas, right gluteal, and thigh muscle compartment. Despite endoscopic stenting of the pancreatic duct and multiple percutaneous drain placement and antibiotic treatment for abscess formation, the patient's condition deteriorated clinically. Surgical options could not be pursued due to poor functional status.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.18839