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Case Reports
. 2015 Mar 24:2015:bcr2014207271.
doi: 10.1136/bcr-2014-207271.

A giant pancreatic pseudocyst treated by cystogastrostomy

Grace C Wang  1 , Subhasis Misra  1
Affiliations
Case Reports

A giant pancreatic pseudocyst treated by cystogastrostomy

Grace C Wang et al. BMJ Case Rep. .

Abstract

We report a case of a giant pancreatic pseudocyst in a 65-year-old man presenting with abdominal pain, loss of appetite and abdominal distension. CT scans demonstrated a giant pancreatic pseudocyst measuring 25.7 cm×15.3 cm×10.9 cm anteroposteriorly, with significant compression of surrounding organs. An open cystogastrostomy was performed through a midline incision, and 3 L of fluid was drained from the giant pseudocyst. Recovery has been uneventful.

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Figures

Figure 1
Figure 1
Preoperative coronal CT of the abdomen.
Figure 2
Figure 2
Preoperative axial CT of the abdomen.
Figure 3
Figure 3
Honeycomb appearance.
Figure 4
Figure 4
Cystogastrostomy.
Figure 5
Figure 5
Partial wall necrosis of the omentum.
Figure 6
Figure 6
Postoperative coronal CT of the abdomen 2 weeks after discharge.
Figure 7
Figure 7
Postoperative axial CT of the abdomen 2 weeks after discharge.
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