American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2015, 3(6), 170-173
DOI: 10.12691/ajmcr-3-6-6
Open AccessCase Report

Conservative Management of a Large-sized Pancreatic Pseudocyst: A Case Report

GUÈYE ML1, , TOURÉ AO2, KONATÉ I3, SECK M4, THIAM O1, CISSE M2, KÂ O2, DIENG M2, DIA A5 and TOURÉ CT2

1General surgeon, surgical resident, Aristide Le Dantec Hospital, Dakar, Sénégal

2General surgeon, Aristide Le Dantec Hospital, Dakar Sénégal

3Department of Surgery, University Gaston Berger, St Louis/Senegal

4General surgeon, professor assistant chief, Aristide Le Dantec Hospital, Dakar Sénégal

55General surgeon, surgical resident, Aristide Le Dantec Hospital, Dakar, Sénégal

Pub. Date: May 19, 2015

Cite this paper:
GUÈYE ML, TOURÉ AO, KONATÉ I, SECK M, THIAM O, CISSE M, KÂ O, DIENG M, DIA A and TOURÉ CT. Conservative Management of a Large-sized Pancreatic Pseudocyst: A Case Report. American Journal of Medical Case Reports. 2015; 3(6):170-173. doi: 10.12691/ajmcr-3-6-6

Abstract

Background: The management of pancreatic pseudocyst involves several treatment options. Among them figure predominantly the surgical, endoscopic and percutaneous drainages. Conservative management is a therapeutic alternative especially for small sized pseudocysts. Larger cysts, more than 6 cm in diameter, are usually treated surgically. However, it had been reported some cases of large-sized pancreatic pseudocyst that had regressed spontaneously. It raises the question about the systematic treatment in large-sized pancreatic pseudocyst. Case presentation: A 55-year-old man who had a 40-year history of alcoholism and a medical history of acute pancreatitis 3 weeks prior to his presentation was sent for an abdominal exploration by CT scan. The CT scan showed a pancreatic pseudocyst of 13 cm in diameter. Meanwhile the patient was just complaining of epigastric pain that was well managed by analgesics. A conservative management was then decided. At the follow-up, CT scan was realized at the 1st, the 3rd and the 5th month. It showed a decreasing of the size of the cyst. Moreover, the CT scan done 3 years after the onset, showed a strictly normal pancreatic parenchyma. Conclusion: Conservative management is a feasible alternative therapy in large pancreatic pseudocysts, bearing in mind a rigorous clinical and radiological monitoring of the patient.

Keywords:
pancreatic pseudocyst conservative treatment alcoholic pancreatitis complication

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