Limits...
A Large Refilling Cystic Lesion In A Gastric Bypass Patient.

Tewari V, Tewari D, Antunez D, Iqbal S, Williams S - ACG Case Rep J (2015)

Bottom Line: We describe a patient with a history of gastric bypass and chronic alcoholism suffering from a rare Peterson's hernia resulting from her surgery.There are a few case reports in which afferent loop obstruction was misdiagnosed as pancreatic pseudocyst after Billroth II gastrectomy.Ours is the first in which Peterson's hernia was initially misdiagnosed as a pancreatic pseudocyst in a gastric bypass patient.

View Article: PubMed Central - PubMed

Affiliation: New York Medical College, Metropolitan and Woodhull Hospitals, New York, NY.

ABSTRACT
We describe a patient with a history of gastric bypass and chronic alcoholism suffering from a rare Peterson's hernia resulting from her surgery. There are a few case reports in which afferent loop obstruction was misdiagnosed as pancreatic pseudocyst after Billroth II gastrectomy. Ours is the first in which Peterson's hernia was initially misdiagnosed as a pancreatic pseudocyst in a gastric bypass patient.

No MeSH data available.


Related in: MedlinePlus

CT showing a large multilobulated cystic collection extending to the pelvis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4508958&req=5

Figure 1: CT showing a large multilobulated cystic collection extending to the pelvis.

Mentions: A 42-year-old woman with history of hypertension, bipolar disorder, chronic alcohol abuse, breast reduction 6 years ago, and gastric bypass 4 years ago was admitted with abdominal pain and an epigastric lump. Computed tomography (CT) showed a large multilobulated cystic collection extending to the pelvis (Figure 1), thought to be a pancreatic pseudocyst secondary to alcohol-induced pancreatitis. She was treated with bowel rest, total parenteral nutrition, and octreotide. When no regression in cyst size was observed after 3 weeks, CT-guided catheter drainage was performed. The drainage volume was approximately 1.5 L of clear fluid per day with fluid analysis showing amylase 15,320 U/L and lipase 3080 U/L. The collection resolved after a few days, but quickly recurred after inadvertent catheter dislodgment. The patient remained afebrile, but began noting abdominal discomfort.


A Large Refilling Cystic Lesion In A Gastric Bypass Patient.

Tewari V, Tewari D, Antunez D, Iqbal S, Williams S - ACG Case Rep J (2015)

CT showing a large multilobulated cystic collection extending to the pelvis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4508958&req=5

Figure 1: CT showing a large multilobulated cystic collection extending to the pelvis.
Mentions: A 42-year-old woman with history of hypertension, bipolar disorder, chronic alcohol abuse, breast reduction 6 years ago, and gastric bypass 4 years ago was admitted with abdominal pain and an epigastric lump. Computed tomography (CT) showed a large multilobulated cystic collection extending to the pelvis (Figure 1), thought to be a pancreatic pseudocyst secondary to alcohol-induced pancreatitis. She was treated with bowel rest, total parenteral nutrition, and octreotide. When no regression in cyst size was observed after 3 weeks, CT-guided catheter drainage was performed. The drainage volume was approximately 1.5 L of clear fluid per day with fluid analysis showing amylase 15,320 U/L and lipase 3080 U/L. The collection resolved after a few days, but quickly recurred after inadvertent catheter dislodgment. The patient remained afebrile, but began noting abdominal discomfort.

Bottom Line: We describe a patient with a history of gastric bypass and chronic alcoholism suffering from a rare Peterson's hernia resulting from her surgery.There are a few case reports in which afferent loop obstruction was misdiagnosed as pancreatic pseudocyst after Billroth II gastrectomy.Ours is the first in which Peterson's hernia was initially misdiagnosed as a pancreatic pseudocyst in a gastric bypass patient.

View Article: PubMed Central - PubMed

Affiliation: New York Medical College, Metropolitan and Woodhull Hospitals, New York, NY.

ABSTRACT
We describe a patient with a history of gastric bypass and chronic alcoholism suffering from a rare Peterson's hernia resulting from her surgery. There are a few case reports in which afferent loop obstruction was misdiagnosed as pancreatic pseudocyst after Billroth II gastrectomy. Ours is the first in which Peterson's hernia was initially misdiagnosed as a pancreatic pseudocyst in a gastric bypass patient.

No MeSH data available.


Related in: MedlinePlus