Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2015

Open Access 01-12-2015 | Case report

Successful treatment of a pancreatic pseudocyst accompanied by massive hemothorax: a case report

Authors: Chiao-Ching Li, Chin-Wen Hsu, Chiao-Zhu Li, Shyh-Ming Kuo, Yu-Chiuan Wu

Published in: Journal of Medical Case Reports | Issue 1/2015

Login to get access

Abstract

Background

It is rare to encounter massive hemothorax as a complication of pancreatic pseudocyst. In addition, as no obvious hypotension and abdominal discomfort were noted, it was difficult to consider gastrointestinal lesion a possibility.

Case presentation

A 54-year-old Taiwanese man had tightness on the left side of his chest and shortness of breath for 3 days. He had a history of acute pancreatitis 3 months ago. After history taking and a series of examinations including thoracocentesis and computed tomography of his abdomen and chest, the diagnosis was finally confirmed based on the high amylase levels in his pleural fluid.

Conclusions

Treatment with distal pancreatectomy and splenectomy was subsequently successfully performed. Based on our experience, we briefly discuss the currently available treatment options for pancreatic pseudocyst.
Literature
2.
go back to reference Tewari SC, Jayaswal R, Chauhan MS, Kaul SK, Narayanan VA. Bilateral recurrent haemorrhagic pleural effusion in asymptomatic chronic pancreatitis. Thorax. 1984;44:824–5.CrossRef Tewari SC, Jayaswal R, Chauhan MS, Kaul SK, Narayanan VA. Bilateral recurrent haemorrhagic pleural effusion in asymptomatic chronic pancreatitis. Thorax. 1984;44:824–5.CrossRef
3.
go back to reference Cochran JW. Pancreatic pseudocyst presenting as massive haemothorax. Am J Gastroenterology. 1978;69:84–7. Cochran JW. Pancreatic pseudocyst presenting as massive haemothorax. Am J Gastroenterology. 1978;69:84–7.
4.
go back to reference Traverso LW, Kozarek RA. Interventional management of pancreatic fluid collections. Surg Clin North Am. 1999;79:745–57.CrossRefPubMed Traverso LW, Kozarek RA. Interventional management of pancreatic fluid collections. Surg Clin North Am. 1999;79:745–57.CrossRefPubMed
5.
go back to reference Andren-Sandberg A, Ansorge C, Eiriksson K, Glomsaker T, Maleckas A. Treatment of pancreatic pseudocysts. Scand J Surg. 2005;94:165–75.PubMed Andren-Sandberg A, Ansorge C, Eiriksson K, Glomsaker T, Maleckas A. Treatment of pancreatic pseudocysts. Scand J Surg. 2005;94:165–75.PubMed
6.
go back to reference Bourliere M, Sarles H. Pancreatic cysts and pseudocysts associated with acute and chronic pancreatitis. Dig Dis Sci. 1989;34:343–8.CrossRefPubMed Bourliere M, Sarles H. Pancreatic cysts and pseudocysts associated with acute and chronic pancreatitis. Dig Dis Sci. 1989;34:343–8.CrossRefPubMed
7.
go back to reference Vitas GJ, Sarr MG. Selected management of pancreatic pseudocyst: operative versus expectant management. Surgery. 1992;111:123–30.PubMed Vitas GJ, Sarr MG. Selected management of pancreatic pseudocyst: operative versus expectant management. Surgery. 1992;111:123–30.PubMed
8.
go back to reference Yeo CJ, Bastidas JA, Lynch-Nyhan A, Fishman EK, Zinner MJ, Cameron JL. The natural history of pancreatic pseudocysts documented by computed tomography. Surg Gyncecol Obstet. 1990;170:411–17. Yeo CJ, Bastidas JA, Lynch-Nyhan A, Fishman EK, Zinner MJ, Cameron JL. The natural history of pancreatic pseudocysts documented by computed tomography. Surg Gyncecol Obstet. 1990;170:411–17.
9.
go back to reference Martin EW, Catalano P, Cooperman M, Hecht C, Carey LC. Surgical decision-making in the treatment of pancreatic pseudocysts. Internal versus external drainage. Am J Surg. 1979;138:821–4.CrossRefPubMed Martin EW, Catalano P, Cooperman M, Hecht C, Carey LC. Surgical decision-making in the treatment of pancreatic pseudocysts. Internal versus external drainage. Am J Surg. 1979;138:821–4.CrossRefPubMed
10.
go back to reference Pitchmumoni CS, Agarwal N. Pancreatic pseudocysts. When and how should drainage be performed? Gastroenterol Clin North Am. 1999;28:615–39.CrossRef Pitchmumoni CS, Agarwal N. Pancreatic pseudocysts. When and how should drainage be performed? Gastroenterol Clin North Am. 1999;28:615–39.CrossRef
11.
go back to reference Nealon WH, Walser E. Main pancreatic ductal anatomy can direct choice of modality for treating pancreatic pseudocysts (surgery versus percutaneous drainage). Ann Surg. 2002;235:751–8.CrossRefPubMedPubMedCentral Nealon WH, Walser E. Main pancreatic ductal anatomy can direct choice of modality for treating pancreatic pseudocysts (surgery versus percutaneous drainage). Ann Surg. 2002;235:751–8.CrossRefPubMedPubMedCentral
12.
go back to reference Schutz SM, Keung JW. Pancreatic endotherapy for pseudocysts and fluid collections. Gastrointest Endosc. 2002;56:150–2.CrossRefPubMed Schutz SM, Keung JW. Pancreatic endotherapy for pseudocysts and fluid collections. Gastrointest Endosc. 2002;56:150–2.CrossRefPubMed
13.
go back to reference Williams KJ, Fabian TC. Pancreatic pseudocysts: recommendations for operative and nonoperative management. Am Surg. 1992;58:199–205.PubMed Williams KJ, Fabian TC. Pancreatic pseudocysts: recommendations for operative and nonoperative management. Am Surg. 1992;58:199–205.PubMed
15.
go back to reference Schattenkerk ME, De Vries JE, Bruining HA, Eggink WF, Obertop H. Surgical treatment of pancreatic pseudocysts. Br J Surg. 1972;123:209–21.CrossRef Schattenkerk ME, De Vries JE, Bruining HA, Eggink WF, Obertop H. Surgical treatment of pancreatic pseudocysts. Br J Surg. 1972;123:209–21.CrossRef
16.
go back to reference Gupta R, Munoz JC, Garg P, Masri G, Nahman Jr NS, Lambiase LR. Mediastinal pancreatic pseudocyst-a case report and review of the literature. MedGenMed. 2007;9:8.PubMedPubMedCentral Gupta R, Munoz JC, Garg P, Masri G, Nahman Jr NS, Lambiase LR. Mediastinal pancreatic pseudocyst-a case report and review of the literature. MedGenMed. 2007;9:8.PubMedPubMedCentral
17.
go back to reference Gintowt A, Hac S, Dobrowolski S, Sledziński Z. An unusual presentation of pancreatic pseudocyst mimicking cystic neoplasm of the pancreas: a case report. Cases J. 2009;2:9138.CrossRefPubMedPubMedCentral Gintowt A, Hac S, Dobrowolski S, Sledziński Z. An unusual presentation of pancreatic pseudocyst mimicking cystic neoplasm of the pancreas: a case report. Cases J. 2009;2:9138.CrossRefPubMedPubMedCentral
18.
go back to reference Papavramidis TS, Duros V, Michalopoulos A, Papadopoulos VN, Paramythiotis D, Harlaftis N. Intra-abdominal pressure alterations after large pancreatic pseudocyst transcutaneous drainage. BMC Gastroenterol. 2009;9:42.CrossRefPubMedPubMedCentral Papavramidis TS, Duros V, Michalopoulos A, Papadopoulos VN, Paramythiotis D, Harlaftis N. Intra-abdominal pressure alterations after large pancreatic pseudocyst transcutaneous drainage. BMC Gastroenterol. 2009;9:42.CrossRefPubMedPubMedCentral
Metadata
Title
Successful treatment of a pancreatic pseudocyst accompanied by massive hemothorax: a case report
Authors
Chiao-Ching Li
Chin-Wen Hsu
Chiao-Zhu Li
Shyh-Ming Kuo
Yu-Chiuan Wu
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2015
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-015-0791-5

Other articles of this Issue 1/2015

Journal of Medical Case Reports 1/2015 Go to the issue