Traumatic Giant Pancreas Pseudocyst Rupture: Report Of A Case

Abstract

Apancreatic pseudocyst is a colleetion of tissue, fluid, debris, pancreatic enzymes, and blood that can develop after acute pancreatitis. Pancreas pseudoeyst rupture is one of the important complications of pancreas pseudocyst disease. Although many ruptured intraabdominal eyst have been reported, there is very rare of pancreatic pseudocyst rupture in the literature. Rupture of the pseudoeyst can be a serious complication shock and hemorrhage may develop. In this case report we present a 22 years old male patient, who had been operated for acute abdominal syndrome and had pancreas pseudocyst rupture due to blunt abdominal trauma. Emergeney laparatomy was performed. On abdominal exploration free intraabdominal fluid mixed with pancreas pseudocyst material and giant pseudocyst filling all abdominal cavity from pancreas to pelvic cavity were detected. Pseudocyst was ruptured through its anterior wall. In operation we didn't succeed to move all pseudoeyst. We decided to palliative surgjcal therapy. Cystojejunostomy and eystoileostomy were performed. Postoperative period was uneventful and the patient was discharged tenth day postoperatively.The patient was followed up with three months intervals and he was free of disease on his second control visit. In condusion, traumatic pancreatic pseudoeyst rupture is very rare. Although it is a very rare entity, this kind of dinical presentation of pancreatic pseudoeyst rupture should be kept in mind in emergeney services.