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Research Articles Issue 1 · 2017 · pp. 172–183 · Issue page

LARGE PANCREATIC PSEUDOCYST SPONTANEOUSLY FISTULIZED TO THE DUODENUM

DĂ
Dănuţ VASILE1
AL
Alexandru ILCO2
CO
Constantin BUDIN3
CĂ
Cătălin LUTIC4
DR
Dragoş DAVIŢOIU5
1 Consultant surgeon, MD, PhD, University lecturer - “Carol Davila” University of Medicine and Pharmacy Bucharest, 1st Surgery Department University Emergency Hospital Bucharest, Romania
2 Consultant surgeon, MD, PhD, 1st Surgery Department University Emergency Hospital Bucharest, Romania
3 Resident surgeon, MD, 1st Surgery Department University Emergency Hospital Bucharest, Romania
4 Junior consultant surgeon, MD, 1st Surgery Department University Emergency Hospital Bucharest, Romania
5 Consultant surgeon MD, PhD, Senior assistant lecturer - “Carol Davila” University of Medicine and Pharmacy Bucharest, 1st Surgery Department University Emergency Hospital Bucharest, Romania
Corresponding author: [email protected]
Accepted 28 March 2026
Available Online 15 March 2017
Abstract
ONE OF THE POSSIBLE COMPLICATIONS OF PANCREATITIS – BOTH ACUTE AND CHRONIC, THE PSEUDOCYST, MAY EVOLVE TO IMPRESSIVE SIZES AND POSSIBLE LIFE -THREATENING COMPLICATIONS (RUPTURE OF THE PANCREATIC PSEUDOCYST, INFECTION, PSEUDOANEURYSMS OF THE NEIGHBOURING ARTERIES AND INTRACYSTIC HEMORRHAGE). THIS ARTICLE REPORTS THE CASE OF A 66 YEARS OLD MALE PATIENT WHO WAS ADMITTED WITH THE DIAGNOSIS OF PANCREATIC PSEUDOCYST LOCATED TO THE BODY AND TAIL, FOLLOWING RECURRENT BOUTS OF ACUTE PANCREATITIS, WHICH DURING THE ADMISSION EVOLVED TO SPONTANEOUS FISTULIZATION TO THE DUODENUM. THE SUBSEQUENT COURSE OF THE PATIENT WAS COMPLICATED BY AN INTRACYSTIC HEMORRHAGE, MANIFESTED BY THE PASSAGE OF MELENA. THE PATIENT WAS SUCCESSFULLY MANAGED CONSERVATIVELY AND WAS DISCHARGED FOLLOWING A 14 DAYS HOSPITAL STAY.
Keywords
PANCREATIC PSEUDOCYST FISTULA INTRACYSTIC HEMORRHAGE GASTRO -
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