Pancreatic pseudocyst causing gastric outlet obstruction

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

PH pancreatitis. Now abdominal pain and vomitting ? bowel obstruction.

Patient Data

Age: 60 years
Gender: Male

Initial CT- late 2013

ct

Very large cyst in the gastro-hepatic ligament extrinsically compressing the pylorus causing gastric outlet obstruction, i.e. distended fluid-filled stomach.

Subsequent CT following...

ct

Subsequent CT following endoscopic cyst-gastrotomy stent insertion

Double J stent from the stomach to position of the cyst.  It has deflated and the stomach has decompressed with a patent pylorus.

Case Discussion

Pseudocysts may develop following acute pancreatitis and can cause pain as well compression of bowel and other upper abdominal structures.

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