Iyyappan Shivani, Jaison Jensy, Mahalingam Harshavardhan
Department of Radiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Cureus. 2025 Aug 14;17(8):e90075. doi: 10.7759/cureus.90075. eCollection 2025 Aug.
This report describes the case of a 62-year-old male with a history of idiopathic acute pancreatitis and pseudocyst. Contrast-enhanced computed tomography (CECT) showed a thick-walled pseudocyst arising from the tail of the pancreas. Notably, a hypodense lesion with homogenous enhancement was identified within the posterosuperior aspect of the pseudocyst, communicating with the splenic vein, exhibiting imaging characteristics of a splenic vein varix. There was no sign of active bleeding or splenic vein thrombosis. The patient was managed conservatively, with continued drainage of the pseudocyst, and is on clinical follow-up. This case illustrates the detection of a vascular lesion within a pseudocyst using imaging, which aids in the planning of the patient's management.
本报告描述了一名62岁男性患者的病例，该患者有特发性急性胰腺炎和假性囊肿病史。增强计算机断层扫描（CECT）显示胰腺尾部有一个厚壁假性囊肿。值得注意的是，在假性囊肿的后上部分发现了一个均匀强化的低密度病变，与脾静脉相通，表现出脾静脉曲张的影像学特征。没有活动性出血或脾静脉血栓形成的迹象。患者接受了保守治疗，假性囊肿持续引流，并进行临床随访。该病例说明了利用影像学检测假性囊肿内的血管病变，这有助于制定患者的治疗方案。
