Журнал клинических случаев

Fusion Drainage of Pseudocyst and Pancreatic Duct in Chronic Pancreatitis with Pseudocyst: A Case Report and Literature Review

Abstract

Ke Z, Xiong J and Li Y

Pseudocyst is a common complication of acute and chronic pancreatitis, which occurs in about 30-40% of adult
patients with chronic pancreatitis. We present the case of a 43-year-old male diagnosed with chronic pancreatitis
(alcohol related) complicated by a pseudocyst located in the head of the pancreas and manifested with abdominal
pain and loss of weight. Management of chronic pancreatitis with pseudocyst depends on pancreatic pathology,
diameter of the main pancreatic duct, size of the pseudocyst, and the expertise of the department. Non-surgical
treatment, which is the basic therapy, is inferior to endotherapy and operation. The obstruction of the main pancreatic
duct being resolved, the abdominal pain and insufficiency of exocrine and endocrine function could be alleviated.
Our drainage procedure described herein, making the pseudocyst and main pancreatic duct fusion and function like
a hollow organ, may be a useful, even a simpler surgical technique, that could relieve symptoms and offer quality
of life to patients.