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首页> 外文期刊>Medicina Fluminensis >Intestinal Perforation Due to the Compressive Effect of Pancreatic Pseudocyst – A Case Report
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Intestinal Perforation Due to the Compressive Effect of Pancreatic Pseudocyst – A Case Report

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© 2023, Croatian Medical Association. All rights reserved.Aim: To present a specific complication of chronic pancreatitis which is perforatioof the small intestine due to the compressive effect of pseudocysts, and different ways odiagnosis and treatment of the same. Case report: A 60-year-old man was admitted to themergency room due to diffuse abdominal pain and profuse vomiting of dark browcontents. Physical examination revealed palpatory abdominal wall pain and abdominadefanse. During hospitalization, a CT of the abdomen was made, which indicated aexacerbation of chronic pancreatitis.As a support of the exacerbation of chronic pancreatitis a large cystic formation (195x109x158mm) well limited was found, filled with densecontent in gravity-dependent parts. A drain was placed in the pseudocyst for continuouemptying. After percutaneous drainage, a pseudocyst measuring 21x18mm persisted anmade communication with a smaller cystic formation from the bursa omentalis. The nexday, two pancreatic prosthesis were placed by ERCP technique due to stenosed ductupancreaticus at the junction between the head and tail of the pancreas. Prior to thpatient’s discharge, US of the abdomen showed a residual pseudocyst measuring 30x30mmOne week after discharge, the pacient came back to emergency room because of thvomiting, decressed appetite and energy, and weight loss. Further examinations revealed perforation of the small intestine as the resault of adhesive ileus and peritonitis. Thpatient’s condition worsened in two days and he was described as anergic with decrease state of consciousness and he died that day in the intensive care unit. Conclusion: A pseudocyst that grows despite therapeutic procedures, and the symptoms and signs of ileus in the exacerbation of chronic pancreatitis should raise suspicion of compression disorders of cystic formation in the abdomen.

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