Pancreatic pseudocyst causing gastric outlet obstruction

Case contributed by Dr Chris O'Donnell

Presentation

PH pancreatitis. Now abdominal pain and vomitting ? bowel obstruction.

Patient Data

Age: 60
Gender: Male
CT

Initial CT- late 2013

Very large cyst in the gastro-hepatic ligament extrinsically compressing the pylorus causing gastric outlet obstruction, i.e. distended fluid-filled stomach.

CT

Subsequent CT following endoscopic cyst-gastrotomy stent insertion

Double J stent from the stomach to position of the cyst.  It has deflated and the stomach has decompressed with a patent pylorus.

Case Discussion

Pseudocysts may develop following acute pancreatitis and can cause pain as well compression of bowel and other upper abdominal structures.

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Case information

rID: 27728
Case created: 16th Feb 2014
Last edited: 20th Nov 2015
Inclusion in quiz mode: Included

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