Taniguchi Yoshinori, Osakabe Yuki, Terada Yoshio
Department of Endocrinology, Metabolism and Nephrology, Kochi Medical School Hospital, Kochi University, Nankoku, Kochi, Japan.
Radiol Case Rep. 2020 Jul 2;15(9):1415-1418. doi: 10.1016/j.radcr.2020.06.018. eCollection 2020 Sep.
Pancreatic pseudocysts are a common complication of both acute and chronic pancreatitis. The complications of pancreatic pseudocysts include compression of abdominal great vessels, gastric or duodenal stenosis, cholestasis due to stenosis of common bile duct, infection, and hemorrhage into the cyst. Moreover, pancreatic pseudocysts most commonly occur around the pancreas; however, extension into the adjacent viscera including spleen, liver, transverse colon, anterior or posterior pararenal space, retroperitoneum and mediastinum does occur infrequently. Here, we report a rare case of atypical extensive pancreatic pseudocyst with hemorrhage in a hemodialysis patient.
胰腺假性囊肿是急慢性胰腺炎的常见并发症。胰腺假性囊肿的并发症包括压迫腹部大血管、胃或十二指肠狭窄、胆总管狭窄导致的胆汁淤积、感染以及囊肿内出血。此外，胰腺假性囊肿最常发生在胰腺周围；然而，延伸至包括脾脏、肝脏、横结肠、肾旁前间隙或肾旁后间隙、腹膜后和纵隔在内的邻近脏器的情况也偶有发生。在此，我们报告一例血液透析患者罕见的非典型广泛性胰腺假性囊肿伴出血的病例。
