There are many potential reasons for an acute abdomen. Very rare is a
rupture of a cystadenoma of the pancreas. We describe such a case of a
n 85-year old woman, who was treated with an internal drainage of the
cyst with a Roux-Y-loop, as at the time of the emergency operation the
histological diagnosis was not known. As for the age of the patient a
nd her general condition a secondary procedure with total resection of
the mucinous cyst was not carried out. The post operative course was
uneventful up to three months, when the patient died in a geriatric ho
me due to a antibiotic-resistant urosepsis. Literature is reviewed and
our case is discussed in respect to recent publications.