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CASE REPORT
Year : 2019  |  Volume : 5  |  Issue : 1  |  Page : 89-91

A Rare Case of Thoraco-Abdominal Pseudocyst of Pancreas: Managed by Roux-En-Y Cystojejunostomy


1 Associate professor, Dept.of surgical gastroenterology, IGIMS, Patna, India
2 Senior Resident, Dept.of surgical gastroenterology, IGIMS, Patna, India
3 Assistant professor, Dept.of surgical gastroenterology, IGIMS, Patna, India
4 Professor, Dept.of surgical gastroenterology, IGIMS, Patna, India
5 Associate professor, AIIMS, Patna, India

Correspondence Address:
Qaisar Jamal
Senior Resident, Department of Gastrointes nal Surgery, IGIMS, Patna 800014
India
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Source of Support: None, Conflict of Interest: None


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Pancreatic pseudocysts are complications of acute orchronic pancreatitis. Most common site of pseudocyst is lesser sac. Mediastinal extension of pseudocyst is rare. Most pseudocystsresolve spontaneously with conservative management. The size and duration of pseudocyst formation has been present as poor predictors forpseudocyst resolution, but in general, larger cysts are more likely to be symptomatic or cause complications. This patient presented withheaviness in chest and dysphagia. Computed tomography abdomen and thorax showed a large thoraco-abdominal pseudocyst. It was confirmed to be pancreatic pseudocyst by analyzing fluid for amylase and lipase intraoperatively. In our patient, the pseudocyst was accessible transabdominaly. Cystogastrostomy was not possible as cyst wall was not adhered with stomach. So, we did retrocolic and retrogastric Roux-en-Y cystojejunostomy.


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