A rare case of pancreatic pseudocyst-portal vein fistula in a patient with chronic pancreatitis.

Barros, Sónia; Relvas, Luís Miguel; Carvalho, Isabel Malta; Vaz, Ana Margarida; Peixe, Bruno

Barros, Sónia; Relvas, Luís Miguel; Carvalho, Isabel Malta; Vaz, Ana Margarida; Peixe, Bruno.

Afiliación

Barros S; Gastroenterology, Unidade de Saúde Local do Algarve - Unidade de Faro, Portugal .
Relvas LM; Gastroenterology , Unidade de Saúde Local do Algarve - Unidade de Faro, Portugal.
Carvalho IM; Gastroenterology , Unidade de Saúde Local do Algarve - Unidade de Faro, Portugal.
Vaz AM; Gastroenterology , Unidade de Saúde Local do Algarve - Unidade de Faro, Portugal.
Peixe B; Gastroenterology, Unidade de Saúde Local do Algarve - Unidade de Faro, Portugal .

Rev Esp Enferm Dig ; 2024 Sep 13.

Article en En | MEDLINE | ID: mdl-39267476

ABSTRACT

ABSTRACT

A 60-year-old female with chronic pancreatitis and a history of splenectomy presented with epigastric pain, vomiting, and asthenia. Elevated pancreatic enzymes and CT imaging revealed a pseudocyst in the pancreatic head with suspected communication to the portal vein, confirmed by MR Cholangiopancreatography and endoscopic ultrasound (EUS). EUS-guided puncture revealed high amylase levels. Given her manageable symptoms, a conservative approach was adopted, leading to symptomatic relief and pseudocyst size reduction. Pancreatic pseudocyst-portal vein fistula is a rare pancreatitis complication, challenging to diagnose, with no gold-standard treatment. Endoscopic stenting offers a promising alternative to surgery for severe cases.

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Rev Esp Enferm Dig Asunto de la revista: GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Portugal Pais de publicación: España

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