Indian J Gastroenterol DOI 10.1007/s12664-015-0540-0
IMAGE
Uncomplicated spontaneous intragastric rupture of pancreatic pseudocyst Bir Singh & M. P. Madhu & Prachis Ashdhir & Rupesh Kumar Pokharna
# Indian Society of Gastroenterology 2015
Pancreatic pseudocysts rarely rupture spontaneously into the stomach. These patients respond well to conservative management [1, 2]. This image is from a 42-yearold male who presented with upper abdominal pain and distension for 1 month and vomiting for 3 days without
hematemesis. He had similar pain 3 years earlier and admitted to consumption of significant amounts of ethanol for the last 8 years. Contrast-enhanced computed tomography showed an atrophic pancreas with a dilated duct, intraductal and parenchymal calcification, a pseudocyst of 5.2×4.3×2.2 cm size in the tail, and extravasation of contrast into the retrogastric region (Fig. 1). Upper gastrointestinal endoscopy showed a deeply excavated ulceration in the gastric fundus with a fistulous opening (Fig. 2). The patient was managed conservatively.
A
B
A
Fig. 1 Contrast-enhanced computed tomography of the abdomen. a Extravasation of oral contrast in the peritoneal cavity. b Pseudocyst
B. Singh : M. P. Madhu : P. Ashdhir : R. K. Pokharna (*) Department of Gastroenterology, Sawai Man Singh Medical College, Jawaharlal Nehru Marg, Jaipur 302 004, India e-mail: [email protected]
Fig. 2 Endoscopic view of the fundus of the stomach. a Fistulous opening in a large deeply excavated ulcerated area in the fundus
Indian J Gastroenterol
References 1. Mir MF, Shaheen F, Gojwari TA, Singh M, Nazir P, Ahmad S. Uncomplicated spontaneous rupture of the pancreatic pseudocyst into
the gut—CT documentation: a series of two cases. Saudi J Gastroenterol. 2009;15:135–6. 2. Somani PO, Jain SS, Shah DK, Khot AA, Rathi PM. Uncomplicated spontaneous rupture of pancreatic pseudocyst into stomach. World J Gastroenterol Endosc. 2013;5:461–4.
IMAGE
Uncomplicated spontaneous intragastric rupture of pancreatic pseudocyst Bir Singh & M. P. Madhu & Prachis Ashdhir & Rupesh Kumar Pokharna
# Indian Society of Gastroenterology 2015
Pancreatic pseudocysts rarely rupture spontaneously into the stomach. These patients respond well to conservative management [1, 2]. This image is from a 42-yearold male who presented with upper abdominal pain and distension for 1 month and vomiting for 3 days without
hematemesis. He had similar pain 3 years earlier and admitted to consumption of significant amounts of ethanol for the last 8 years. Contrast-enhanced computed tomography showed an atrophic pancreas with a dilated duct, intraductal and parenchymal calcification, a pseudocyst of 5.2×4.3×2.2 cm size in the tail, and extravasation of contrast into the retrogastric region (Fig. 1). Upper gastrointestinal endoscopy showed a deeply excavated ulceration in the gastric fundus with a fistulous opening (Fig. 2). The patient was managed conservatively.
A
B
A
Fig. 1 Contrast-enhanced computed tomography of the abdomen. a Extravasation of oral contrast in the peritoneal cavity. b Pseudocyst
B. Singh : M. P. Madhu : P. Ashdhir : R. K. Pokharna (*) Department of Gastroenterology, Sawai Man Singh Medical College, Jawaharlal Nehru Marg, Jaipur 302 004, India e-mail: [email protected]
Fig. 2 Endoscopic view of the fundus of the stomach. a Fistulous opening in a large deeply excavated ulcerated area in the fundus
Indian J Gastroenterol
References 1. Mir MF, Shaheen F, Gojwari TA, Singh M, Nazir P, Ahmad S. Uncomplicated spontaneous rupture of the pancreatic pseudocyst into
the gut—CT documentation: a series of two cases. Saudi J Gastroenterol. 2009;15:135–6. 2. Somani PO, Jain SS, Shah DK, Khot AA, Rathi PM. Uncomplicated spontaneous rupture of pancreatic pseudocyst into stomach. World J Gastroenterol Endosc. 2013;5:461–4.
