Yi Chae Yong, Na Gyoung Jun, Baek Hyun Choul, Kim Jeong Hoon, Bae Sang Hun, Kim Dong Hyun, Je In Soo, Kwon Byoung Pyo
Department of Internal Medicine, Good Sam Sun Hospital, Busan, Korea.
Korean J Gastroenterol. 2008 Jan;51(1):56-9.
Although most of pseudocysts as one of complications of pancreatitis occur primarily within the pancreas, the extrapancreatic locations of pseudocysts, especially in the liver, are rare events. With advanced technology of imaging studies including abdominal computed tomography, ultrasonography, and magnetic resonance imaging, their frequency seems to be increasing. We report here a case of left intrahepatic pancreatic pseudocyst following acute pancreatitis. Percutaneous puncture revealed a high level of amylase and lipase in the collection, confirming the diagnosis of intrahepatic pseudocyst. Symptomatic intrahepatic pseudocysts can be managed surgically, transcutaneously or endoscopically, and asymptomatic intrahepatic pseudocysts can be treated conservatively. We report this case with a review of literature.
尽管作为胰腺炎并发症之一的大多数假性囊肿主要发生在胰腺内，但假性囊肿位于胰腺外，尤其是在肝脏中的情况较为罕见。随着包括腹部计算机断层扫描、超声检查和磁共振成像在内的先进成像技术的发展，其发生率似乎在增加。我们在此报告一例急性胰腺炎后左肝内胰腺假性囊肿的病例。经皮穿刺显示抽出液中淀粉酶和脂肪酶水平较高，证实为肝内假性囊肿。有症状的肝内假性囊肿可通过手术、经皮或内镜治疗，无症状的肝内假性囊肿可保守治疗。我们报告此病例并复习相关文献。
