Pseudopancreatic cyst invasion into spleen: Case report and review

• Main Authors: Sunder Goyal, Snigdha Goyal, Mohinder Kumar Garg, Uma Garg
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-01-01
• Series: Journal of Mahatma Gandhi Institute of Medical Sciences
• Subjects: Pancreatitis; pseudopancreatic cyst; spleen
• Online Access: http://www.jmgims.co.in/article.asp?issn=0971-9903;year=2014;volume=19;issue=2;spage=151;epage=154;aulast=Goyal

Splenic parenchymal complications in pancreatitis are uncommon and these vary from invasion of pseudopancreatic cysts into spleen to hemorrhages, infarctions and splenic rupture. Spleen is prone to complications in both acute and chronic pancreatitis due to the anatomical relation of splenic hilum with the tail of pancreas. As clinical picture is non-specific, a high index of suspicion is mandatory for early detection to avoid shattering complications. Conservative management is feasible in patients with small and resolving pseudocysts of pancreas as well as of spleen. Surgery is a treatment of choice for large non-resolving and complicated cyst. We present a 26-year-male with huge pseudopancreatic cyst, which invaded into spleen. Patient was operated by open technique. The case is being presented because of uncommon occurrence along with review of the literature regarding the pre-operative evaluation and various treatment options