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
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.