Yonsei Med J.  2000 Aug;41(4):522-527. 10.3349/ymj.2000.41.4.522.

Two cases of chronic pancreatitis with pseudocyst complicated by obstructive jaundice

• Cho HG
• Min HY
• Jang DS
• Shin YW
• Kwon KS
• Kim YS
• Kim MY
• Kim KR

• KMID: 1067120
• DOI: http://doi.org/10.3349/ymj.2000.41.4.522

Abstract

We recently treated two cases of chronic pancreatitis with obstructive jaundice due to compression of the common bile duct by pancreatic pseudocyst. The two cases were males admitted with the complaint of icteric skin color. The first, a 46-year-old male, admitted with the complaint of icteric skin color. He was treated by operative cystojejunostomy after percutaneous drainage of the pseudocyst and percutaneous transhepatic biliary drainage. The other case was a 58 year-old male who admitted with the complaint of icteric skin color. He had an infected pseudocyst in the pancreas and was endoscopically treated. Both of them were discharged with favorable clinical course and normal laboratory findings after the treatment. The former patient remained well 11 months after treatment, but the latter patient died from necrotizing pancreatitis and septic shock 6 months after treatment. Most cases of obstructive jaundice associated with pseudocysts appear to be due to fibrotic stricture of the intrapancreatic portion of the common bile duct rather than due to compression of the bile duct by the pseudocyst. In a patient with secondary pancreatic infection or obstructive jaundice following pancreatic disease, differentiating between these two conditions is an important aspect of accurate diagnosis and therapy. Herein we report two unusual cases of chronic pancreatitis with pseudocyst complicated by obstructive jaundice.

Keyword

Obstructive jaundice; pseudocyst; chronic pancreatitis

MeSH Terms

Case Report
Cholestasis/therapy
Cholestasis/etiology*
Chronic Disease
Human
Male
Middle Age
Pancreatic Pseudocyst/complications*
Pancreatitis/complications*