PERIDUODENAL PANNICULITIS DUE TO SPONTANEOUS RUPTURE OF A PANCREATIC PSEUDOCYST INTO THE DUODENUM

Citation
H. Kobayashi et al., PERIDUODENAL PANNICULITIS DUE TO SPONTANEOUS RUPTURE OF A PANCREATIC PSEUDOCYST INTO THE DUODENUM, Abdominal imaging, 20(2), 1995, pp. 106-108
Citations number
6
Categorie Soggetti
Gastroenterology & Hepatology","Radiology,Nuclear Medicine & Medical Imaging
Journal title
ISSN journal
09428925
Volume
20
Issue
2
Year of publication
1995
Pages
106 - 108
Database
ISI
SICI code
0942-8925(1995)20:2<106:PPDTSR>2.0.ZU;2-F
Abstract
We report a patient with transient periduodenal panniculitis due to sp ontaneous rupture of a pancreatic pseudocyst into the duodenum. He dev eloped sudden onset of severe epigastric and back pain with jaundice, mimicking the symptoms of acute pancreatitis. However, the serum and u rinary amylase levels did not increase. CT scans showed disappearance of his pseudocyst and periduodenal panniculitis without any evidence o f acute pancreatitis. The CT findings of periduodenal panniculitis and his symptoms both improved within 3 weeks. A duodenal fistula leading to the remnant pseudocyst and narrowing of the periduodenal portion o f the common bile duct were demonstrated by endoscopic retrograde chol angiopancreatography.