The patient has a history of chronic calcific pancreatitis. Pancreatic enzymes digest fascial layers, spreading the inflammatory process to multiple anatomic departments.

Pancreatitis can cause serious complications including pseudocysts (encapsulated fluid collections usually after 4 weeks).

In the presence of severe pain and large pseudocysts not resolving with conservative management, percutaneous drainage can be used, as it is both diagnostic and therapeutic. 

The pseudocyst's fluid underwent successful percutaneous drainage and surgery, which showed clear fluid with high amylase, confirming these collections to be pancreatic pseudocysts. After being drained the size of the pseudocysts have decreased.

Intrasplenic pseudocysts

One of the main causes of splenic pseudocysts is locoregional inflammation. Pancreatic pseudocysts extend beneath the splenic capsule by tracking along the pancreatic tail to the splenic hilum.

Intrahepatic pseudocysts

A hepatic sub-capsular pseudocyst is a rare but known complication of pancreatitis and should be kept in mind when a sub-capsular collection is found in patients with a chronic or recent episode of acute pancreatitis. CT and a high level of amylase in the collection plays an important role in diagnosing this condition.