摘要
BACKGROUND Intrahepatic pancreatic pseudocyst(IHPP)is an extremely rare complication of acute pancreatitis,with only a few cases previously described in the literature.To the best of our knowledge,IHPP with Budd-Chiari syndrome(BCS)has not yet been described.CASE SUMMARY A 35-year-old male presented with abdominal pain,vomiting and anorexia,followed by severe swelling of the lower body after 4 d.The morphological assessment(using computed tomography revealed the presence of a huge cyst of 18.28 cm×10.34 cm under the liver capsule accompanied by a large amount of ascites.Percutaneous puncture allowed us to detect a high level of amylase in the collection,confirming the diagnosis of IHPP.The cyst was treated by percu-taneous drainage,producing complete resolution of the cyst.CONCLUSION IHPP can be treated with percutaneous drainage,endoscopic drainage,surgery or even conservative treatment,depending on the specific condition.We recommend percutaneous drainage as the first choice of treatment when IHPP with secondary BCS.
基金
the National Natural Science Foundation of China,No.81802778.
作者简介
ORCID number:Gang Zhu 0000-0001-6599-7583;Yi-Sheng Peng 0000-0002-5102-5297;Cheng Fang 0000-0002-3274-3613;Xiao-Li Yang 0000-0001-9071-0097;Bo Li 0000-0002-3640-6526;Corresponding author:Bo Li,PhD,Doctor,Department of General Surgery(Hepatobiliary Surgery),Academician(Expert)Workstation of Sichuan Province,The Affiliated Hospital of Southwest Medical University,No.25 Taiping Street,Jiangyang District,Luzhou 646000,Sichuan Province,China.liboer2002@126.com。
