Zhu G, Peng YS, Fang C, Yang XL, Li B. Percutaneous drainage in the treatment of intrahepatic pancreatic pseudocyst with Budd-Chiari syndrome: A case report . World J Clin Cases 2021; 9(28): 8476-8481 [PMID: 34754856 DOI: 10.12998/wjcc.v9.i28.8476]
Corresponding Author of This Article
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
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 6, 2021; 9(28): 8476-8481 Published online Oct 6, 2021. doi: 10.12998/wjcc.v9.i28.8476
Percutaneous drainage in the treatment of intrahepatic pancreatic pseudocyst with Budd-Chiari syndrome: A case report
Gang Zhu, Yi-Sheng Peng, Cheng Fang, Xiao-Li Yang, Bo Li
Gang Zhu, Yi-Sheng Peng, Cheng Fang, Xiao-Li Yang, Bo Li, Department of General Surgery (Hepatobiliary Surgery), Academician (Expert) Workstation of Sichuan Province, The Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan Province, China
Author contributions: Li B and Yang XL proposed the idea and supervised, reviewed and edited the writing; Zhu G collected the data, analyzed the literature, and wrote the manuscript; Peng YS collected and analyzed the literature; Fang C assisted with literature analysis, manuscript preparation and image analysis; All authors read and approved the manuscript.
Supported bythe National Natural Science Foundation of China, No. 81802778.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
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
Received: February 26, 2021 Peer-review started: February 26, 2021 First decision: May 11, 2021 Revised: May 17, 2021 Accepted: August 9, 2021 Article in press: August 9, 2021 Published online: October 6, 2021 Processing time: 213 Days and 23.8 Hours
Abstract
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 percutaneous 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.
Core Tip: Intrahepatic pancreatic pseudocyst (IHPP) is a rare complication secondary to pancreatitis. We present herein, a rare case of IHPP with Budd-Chiari syndrome (BCS), developed in a male patient who had undergone left kidney surgery for kidney rupture due to pancreatitis. Cyst drainage analysis showed high levels of amylase. This case highlights that for BCS secondary to IHPP, emergency percutaneous drainage is a safe and effective treatment strategy.
