Abstract
A 46-year-old man with alcoholism was admitted to our hospital complaining of fever and abdominal distension. Abdominal computed tomography(CT) revealed a huge pancreatic pseudocyst which expanded to the pelvic space with bacterial infection. The lesion was divided into two parts, one was in intra-abdominal space and another in the omental bursa. Because of the less effectiveness of conservative therapy, we performed percutaneous catheter drainage(PCD) using two catheters separately from each other. We carefully determined their positions for high effectiveness of drainage and intra-cystic lavage treatment. The size of the pseudocyst decreased and disappeared without surgical treatment. The follow-up CT at forty-five days after PCD showed occlusion of splenic vein, but it spontaneously improved.
We herein report a case of huge pancreatic pseudocyst presenting with unique morphology, because of its rarity and suggestive clinical course.
