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Internal and Emergency Medicine

, Volume 13, Issue 5, pp 801–803 | Cite as

Abdominal wall pseudocyst fluid collection: the unexpected presentation of pancreatic pseudocyst

  • Federico Pasin
  • Giulia Tanzi
  • Roberto Grassia
CE - MEDICAL ILLUSTRATION

A 65-year-old woman presented with abdominal pain, nausea, and hyporexia lasting 2 weeks. The symptoms were associated with alimentary vomiting and intestinal obstruction. The patient denied any previous episodes similar to this presentation. Her past medical history was unremarkable except for psychiatric disorder.

Physical examination on admission revealed a large palpable mass in the epigastrium with associated tenderness but no signs of peritonitis. The patient was afebrile, tachycardic and normotensive. The laboratory findings showed increased C-reactive protein (143 mg/L), slight elevated levels of alanine transaminase (68 IU/L), aspartate aminotransferase (48 IU/L), G-glutamyl transpeptidase (96 IU/L). The serum bilirubin level, amylase and lipase were normal. The blood count showed hemoglobin at 12.5 g/dL, white blood cells at 8.80 g/L, and platelets at 285 g/L. The tumor markers were also in normal range (carcinoembryonic antigen, 1.3 ng/mL; carbohydrate antigen 19-9, 28.7...

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Statement of human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual patients.

References

  1. 1.
    Habashi S, Draganov PV (2009) Pancreatic pseudocyst. World J Gastroenterol. 15(1):38–47CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Podgurski L, Hou G, Shaffer K (2015) CT imaging of a pancreatic pseudocyst: clinical and anatomic implications. Radiol Case Rep 2(4):107CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Davey PT, McKevitt G, Novak J (2011) A pancreatic pseudocyst presenting in the anterior abdominal wall. Pancreas 40(3):484–486CrossRefPubMedGoogle Scholar

Copyright information

© SIMI 2018

Authors and Affiliations

  1. 1.Internal Medicine UnitASST CremonaCremonaItaly
  2. 2.Pathology UnitASST CremonaCremonaItaly
  3. 3.Digestive Endoscopy and Gastroenterology UnitASST CremonaCremonaItaly

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