Aswani Yashant, Anandpara Karan Manoj, Hira Priya
Seth G S Medical College and KEM Hospital, Mumbai, Maharashtra, India.
BMJ Case Rep. 2015 Jan 27;2015:bcr2014207822. doi: 10.1136/bcr-2014-207822.
Pancreatic pseudocysts are known to extend beyond the confines of the pancreatic bed due to the digestive nature of enzyme rich pancreatic fluid. Extension of a pseudocyst beyond the retroperitoneum, along the retrofascial plane within the psoas muscle is, however, unusual, with only a handful of cases described in the literature. We report a case of a 28-year-old man who presented with right lumbar pain and painful ipsilateral hip extension. Imaging findings revealed extension of the pseudocyst into psoas along with features of acute pancreatitis. The pseudocyst was drained percutaneously under image guidance, which led to resolution of symptoms.
由于富含酶的胰液具有消化性，胰腺假性囊肿已知会延伸至胰腺床范围之外。然而，假性囊肿延伸至腹膜后间隙之外，沿腰大肌内的筋膜后平面延伸的情况并不常见，文献中仅描述了少数病例。我们报告一例28岁男性患者，表现为右腰部疼痛和同侧髋关节伸展时疼痛。影像学检查结果显示假性囊肿延伸至腰大肌，同时伴有急性胰腺炎的特征。在影像引导下经皮引流假性囊肿，症状得以缓解。
