Dayal Madhukar, Sharma Raju, Madhusudhan Kumble Seetharama, Garg Pramod Kumar
Department of Radiodiagnosis (Madhukar Dayal, Raju Sharma, Kumble Seetharama Madhusudhan).
Gastroenterology (Pramod Kumar Garg), All India Institute of Medical Sciences, New Delhi, India.
Ann Gastroenterol. 2014;27(2):173-176.
Rupture into the portal vein is a rare complication of a pancreatic pseudocyst. Only 15 cases of such an incidence have been described in the literature. Only one of these was diagnosed with magnetic resonance imaging (MRI), the rest being diagnosed using other invasive diagnostic modalities or at surgery. We report a case of this rare complication diagnosed on MRI and also describe the demonstration of residual lysed thrombus within the portal vein as a new feature on MRI which supports this diagnosis. The presence of liver necrosis present in our case is a probable effect of this complication not described in the literature before. Early diagnosis of this potentially lethal complication can help in the proper management of these patients.
胰腺假性囊肿破裂进入门静脉是一种罕见的并发症。文献中仅描述了15例这种情况。其中只有1例通过磁共振成像（MRI）诊断，其余通过其他侵入性诊断方法或手术诊断。我们报告1例通过MRI诊断出的这种罕见并发症病例，并描述门静脉内残留溶解血栓的显示，这是MRI上支持该诊断的一个新特征。我们病例中存在的肝坏死可能是这种并发症的一种效应，此前文献中未描述过。对这种潜在致命并发症的早期诊断有助于对这些患者进行恰当管理。
