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Pancreatic Pseudocyst

Wirt MDW - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Pancreatic Pseudocyst

History: 18 year-old male with history of T cell lymphoma, common bile duct dysfunction, MRSA, and candida albicans sepsis, and recent distributive shock clinical picture presents with acute pancreatitis possibly secondary to L-asparaginase therapy.

Findings: Upright abdominal plain film showing displacement of stomac and course of the Dobhoff feeding tube by a large, left paracentral, abdominal mass. An axial CT image of upper abdomen without contrast demonstrates a fluid collection in the Lesser sac. note the dense, thin rim in the periphery representing the fibrous capsule. These findings are consistent with a pancreatic pseudocyst.

Ddx: Pancreatic pseudocyst Pancreatic abscess Pancreatic necrosis with or without infection; Pancreatic hemorrhage Cystic Pancreatic Neoplasm

Dxhow: Imaging findings and percutaneous catheter drainage

Exam: Physical exam demonstrated increasing abdominal circumfrence and tenderness over a period of 1 week.

No MeSH data available.


An axial CT image of upper abdomen without contrast demonstrated a large fluid collection within the lesser sac. Increased CT density is present within the mid-portion of this fluid collection representing hemorrhage.  A thin, soft tissue density rim is present corresponding to a fibrous capsule. These findings are consistent with a pancreatic pseudocyst.
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MPX2209_synpic18368: An axial CT image of upper abdomen without contrast demonstrated a large fluid collection within the lesser sac. Increased CT density is present within the mid-portion of this fluid collection representing hemorrhage. A thin, soft tissue density rim is present corresponding to a fibrous capsule. These findings are consistent with a pancreatic pseudocyst.


Pancreatic Pseudocyst

Wirt MDW - MedPix

An axial CT image of upper abdomen without contrast demonstrated a large fluid collection within the lesser sac. Increased CT density is present within the mid-portion of this fluid collection representing hemorrhage.  A thin, soft tissue density rim is present corresponding to a fibrous capsule. These findings are consistent with a pancreatic pseudocyst.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2209&req=5

MPX2209_synpic18368: An axial CT image of upper abdomen without contrast demonstrated a large fluid collection within the lesser sac. Increased CT density is present within the mid-portion of this fluid collection representing hemorrhage. A thin, soft tissue density rim is present corresponding to a fibrous capsule. These findings are consistent with a pancreatic pseudocyst.

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Pancreatic Pseudocyst

History: 18 year-old male with history of T cell lymphoma, common bile duct dysfunction, MRSA, and candida albicans sepsis, and recent distributive shock clinical picture presents with acute pancreatitis possibly secondary to L-asparaginase therapy.

Findings: Upright abdominal plain film showing displacement of stomac and course of the Dobhoff feeding tube by a large, left paracentral, abdominal mass. An axial CT image of upper abdomen without contrast demonstrates a fluid collection in the Lesser sac. note the dense, thin rim in the periphery representing the fibrous capsule. These findings are consistent with a pancreatic pseudocyst.

Ddx: Pancreatic pseudocyst Pancreatic abscess Pancreatic necrosis with or without infection; Pancreatic hemorrhage Cystic Pancreatic Neoplasm

Dxhow: Imaging findings and percutaneous catheter drainage

Exam: Physical exam demonstrated increasing abdominal circumfrence and tenderness over a period of 1 week.

No MeSH data available.