Kamble RS, Gupta R, Gupta AR, Kothari PR, Dikshit KV, Kekre GA, Patil PS. Thoracoabdominal pseudocyst of pancreas: An rare location, managed by retrocolic retrogastric Roux-en-Y cystojejunostomy. World J Gastrointest Surg 2015; 7(5): 82-85 [PMID: 26015854 DOI: 10.4240/wjgs.v7.i5.82]
Corresponding Author of This Article
Dr. Ravikiran Shankar Kamble, Department of Pediatric Surgery, LTMMC and LTMG Hospital Sion Mumbai, Dr. Babasaheb Ambedkar Road, Maharashtra 400022, India. drkambleravi80@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. May 27, 2015; 7(5): 82-85 Published online May 27, 2015. doi: 10.4240/wjgs.v7.i5.82
Thoracoabdominal pseudocyst of pancreas: An rare location, managed by retrocolic retrogastric Roux-en-Y cystojejunostomy
Ravikiran Shankar Kamble, Rahulkumar Gupta, Abhaya R Gupta, Paras Rashmikant Kothari, K Vishesh Dikshit, Geeta Anil Kekre, Prashant Sadashiv Patil
Ravikiran Shankar Kamble, Rahulkumar Gupta, Abhaya R Gupta, Paras Rashmikant Kothari, K Vishesh Dikshit, Geeta Anil Kekre, Prashant Sadashiv Patil, Department of Pediatric Surgery, LTMMC and LTMG Hospital Sion Mumbai, Maharashtra 400022, India
Author contributions: Kamble RS, Gupta R, Gupta AR evaluated the patient, performed the surgery, designed the paper; Kothari PR guided during surgery and preparation paper; Dikshit KV, Kekre GA, Patil PS collected the data and did literature search.
Ethics approval: Not required.
Informed consent: Written informed consent was obtained from the patient for publication of this case report and any accompaying images.
Conflict-of-interest: None.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by exter-nal reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Ravikiran Shankar Kamble, Department of Pediatric Surgery, LTMMC and LTMG Hospital Sion Mumbai, Dr. Babasaheb Ambedkar Road, Maharashtra 400022, India. drkambleravi80@gmail.com
Telephone: +91-9850969474
Received: November 2, 2014 Peer-review started: November 3, 2014 First decision: December 12, 2014 Revised: January 2, 2015 Accepted: April 10, 2015 Article in press: April 14, 2015 Published online: May 27, 2015
Abstract
Pseudocyst formation is a common complication of acute and chronic pancreatitis. Most common site of pseudocyst is lesser sac; mediastinal extension of pseudocyst is rare. Other possibilities of posterior mediastinal cyst must be considered. This patient presented with computed tomography abdomen with thorax showing a large thoraco-abdominal pseudocyst with right sided pleural effusion. It was confirmed to be pancreatic pseudocyst by analyzing fluid for amylase and lipase during surgery. In our patient, the pseudocyst was accessible transabdominaly. Cystogastrostomy was not possible as it was causing twisting of cardio-esophageal junction; we did retrocolic and retrogastric Roux-en-Y cystojejunostomy. Only two such cases were reported in literature.
Core tip: Thoraco-abdominal pseudocyst is rare location of pancreatic pseudocyst. Other possibilities of posterior mediastinal cyst must be considered. Internal drainage is a definitive management but will be difficult. Retrocolic retrogastric Roux-en-Y cystojejunostomy is feasible option. Only two such cases were reported in literature.
