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  • Sucessful treatment of pancreatic pseudocyst with percutaneous pseudocystogastric drainage - a case report = Uspešno zdravljenje pankreatične psevdociste s perkutano psevdocistogastrično drenažo - prikaz primera
    Ponorac, Slavica ; Vidmar, Dubravka ; Kuhelj, Dimitrij
    Background. Nonoperative management of the pancreatic pseudocyst has become an accepted treatment in past years. We present a case of the pancreatic pseudocyst successfully treated with percutaneous ... pseudocystogastric drainage after resolution of its complication. Case report. A 60 - year - old man with a history of acute necrotizing pancreatitis was diagnosed a10 cm large pancreatic pseudocyst, which was treated with percutaneous pseudocystogastric drainage.This routine procedure has been sucesfully performed in our institution since 1995, but in the presented case the pseudocyst actually increased in size after insertion of the pigtail catheter. An additional external percutaneous drainage was placed and in course of few days pseudocyst decreased in size. The external catheter was therefore removed and the residue of the pseudocyst was drainedby the pigtail catheter, that was left in place and finally removed 12 months after wards. The patient was free of any subjective complaints from the moment of its insertion and till its removal. Conclusion. Percutaneous pseudocystogastric drainage remains a leading method in pancreatic pseudocyst treatment, provided a proper selection of patients. In case of apparent inefficiency of the method, the complication can be resolved with additional temporary external percutaneous drainageas an alternative to a more invasive surgical approach.
    Type of material - article, component part
    Publish date - 2013
    Language - slovenian
    COBISS.SI-ID - 935084