Seudoquistogastrostomía espontánea manejo selectivo del seudoquiste agudo pancreático
DOI:
https://doi.org/10.31053/1853.0605.v60.n1.34038Keywords:
pseudocys, acute pancreatitis, treatment, spontaneous pseudocystogastrostomyAbstract
Background: In our medlum, acute pancreatic pseudocyst occur after severe acute pancreatitis or pancreatic trauma The Initial diagnosis Is made by ultrasound examination, computed axial tomography and less frequently, by clinical assessment. Treatment may be elther surgical or minimal invasive Objectives : To present a patient with a large acute pancreatic pseudocyst whlch had a spontaneous resolution. Material and Methods : The patient was a 71-year-olcl male who hacl an attack of severe acute pancreatitis complicated by infected pancreatic necrosis requiring serial necrosectomies and cholecystectoiny; he then developed a 20 cm acute pancreatic pseudocyst. The severity ofthe disease and its implication on the patient's general condition delayed treatment en the pseudocyst, whlch in lts natural course, spontaneously drainecl into the stomach with no cornpllcations or relapses. Conclusion: Acute pancreatie cysts larger than 6 cm persisting for more than 12 weeks are usually surgically treated. Sorne cases, as the one reported below, could be managed by non-surgical rneans with adequate follow-up.
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