Srpski arhiv za celokupno lekarstvo 2011 Volume 139, Issue 11-12, Pages: 812-814
https://doi.org/10.2298/SARH1112812C
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Pancreatic tail pseudocyst of type II treated with resection of the tail of the pancreas and splenectomy
Čolović Radoje (Medicinski fakultet, Beograd)
Kaitović Marko (Klinika za digestivnu hirurgiju, Klinički centar Srbije, Beograd)
Latinčić Stojan (Klinika za digestivnu hirurgiju, Klinički centar Srbije, Beograd)
Introduction. Pancreatic pseudocysts of type II are postnecrotic cysts that
appear during an acute-on-chronic pancreatitis. In case that surgical
treatment is necessary, as a rule it is performed using internal drainage
operations. Pancreatic resections are rarely indicated. Case Outline. The
authors present a 34 year-old man with a long-lasting history of moderate
alcohol consumption in whom an episode of drinking caused an acute-on-chronic
pancreatitis so that a 7 cm in diameter cyst was developed inside the tail of
the pancreas causing left subcostal pain, mild pleural effusion and pain in
the left shoulder. At operation almost entirely inside the tail of the
pancreas a cyst of type II unsuitable for internal drainage operation was
found so that a spared resection of the tail of the pancreas and splenectomy
were carried out. The post-operative recovery was prolonged due to recurrent
left pleural effusion requiring punctions, mild suppurative secretion from
the splenic fossa and transient postsplenectomy thrombocytosis. Six months
after surgery the patient is in good condition and with normal findings.
Conclusion. Although rare, pancreatic cysts of type II may be unsuitable for
internal drainage operations so that resection of the effected part of the
pancreas could be a much better solution than external drainage.
Keywords: acute pancreatitis, cyst of type II, pancreatic resection