Korean J Gastroenterol.  2008 Jan;51(1):56-59.

A Case of Intrahepatic Pseudocyst Complicating Acute Pancreatitis

Affiliations
  • 1Department of Internal Medicine, Good Sam Sun Hospital, Busan, Korea. choanae@naver.com

Abstract

Although most of pseudocysts as one of complications of pancreatitis occur primarily within the pancreas, the extrapancreatic locations of pseudocysts, especially in the liver, are rare events. With advanced technology of imaging studies including abdominal computed tomography, ultrasonography, and magnetic resonance imaging, their frequency seems to be increasing. We report here a case of left intrahepatic pancreatic pseudocyst following acute pancreatitis. Percutaneous puncture revealed a high level of amylase and lipase in the collection, confirming the diagnosis of intrahepatic pseudocyst. Symptomatic intrahepatic pseudocysts can be managed surgically, transcutaneously or endoscopically, and asymptomatic intrahepatic pseudocysts can be treated conservatively. We report this case with a review of literature.

Keyword

Intrahepatic pseudocyst; Acute Pancreatitis

MeSH Terms

Acute Disease
Aged
Humans
Liver Diseases/*diagnosis/etiology/ultrasonography
Magnetic Resonance Imaging
Male
Pancreatic Pseudocyst/*diagnosis/etiology/ultrasonography
Pancreatitis, Alcoholic/complications/*diagnosis/ultrasonography
Tomography, X-Ray Computed
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