Pancreatojejunostomy for Intrahepatic Pseudocyst: A Unique ApproachMukund P Kulkarni*
Department of Surgical gastroenterology, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India
- *Corresponding Author:
- Mukund P Kulkarni
Department of Surgical gastroenterology
Karnataka Institute of Medical Sciences. Hubli. Karnataka, India
E-mail: [email protected]
Received date: April 24, 2017; Accepted date: May 10, 2017; Published date: May 15, 2017
Citation: Kulkarni MP (2017) Pancreatojejunostomy for Intrahepatic Pseudocyst: A Unique Approach. Pancreat Disord Ther 7:183. doi: 10.4172/2165-7092.1000183
Copyright: © 2017 Kulkarni MP. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Intrahepatic pseudocyst of pancreas is a very rare entity and a significant diagnostic dilemma with less than 30 cases reported in the world literature. Demonstration of amylase rich fluid and a communication with pancreatic duct system establishes the diagnosis. There are no definite guidelines for the management. Here we describe a patient with alchohol related chronic pancreatitis with pseudocyst in head of pancreas developing intrahepatic dissection of pseudocyst resulting in a large intrahepatic multicystic lesion. The diagnosis was made by CT scan and Ultrasound guided aspiration of intrahepatic cyst contents showing amylase rich fluid. The patient had to be treated for both the pancreatic pain and intrahepatic pseudocyst. The patient underwent lateral pancreaticojejunostomy. The surgery resulted in resolution of intrahepatic pseudocyst by decompressing the main pancreatic duct and also resolved the pain of chronic pancreatitis.The lateral pancreato jejunostomy in this case is unique and not described before to treat intrahepatic pseudocyst.