ISSN: 2008-2258
Vol 12, No 3 (2019): Summer
Multiple intrahepatic pancreatic pseudocyst (MIHPPs): an overlooked and misdiagnosed entity
Gastroenterology and Hepatology from Bed to Bench,
,
,
Page 263
https://doi.org/10.22037/ghfbb.v12i3.1511
Abstract
Pancreatitis and pseudo-pancreatic cysts are frequently encountered entities; however, intrahepatic pseudocysts presenting as large number of liver cysts with absence of overt signs of pancreatitis has never been reported in literature. Here, we report an interesting case of multiple intrahepatic pancreatic pseudocysts (MIHPPs), a challenging diagnosis to be kept in mind while dealing with complex cystic lesions of liver. Pseudocysts are common complication of pancreatitis, often these are located within the vicinity of the pancreas in the lesser sac and the retroperitoneum. Extra pancreatic location of these cysts within the liver is a diagnosis often missed, with only 50 odd cases reported in literature till date. Most of these reported cases are either subcapsular in location or limited in number to one or two lesions. Although rare, possibility of MIHPPs is an important diagnosis that should be kept in mind while considering list of differentials for complex cystic lesions of the liver even in the absence of overt signs of pancreatitis.
Keywords: pancreatitis, pseudocysts, hepatic cyst, intrahepatic pseudocysts, multidetector computed tomography.
(Please cite as: Tomar S, Ghasi RG, Agarwal J. Multiple intrahepatic pancreatic pseudocyst (MIHPPs): an overlooked and misdiagnosed entity. Gastroenterol Hepatol Bed Bench 2019;12(3):263-266).
- Intrahepatic pseudocyst
- complex liver cyst
- pancreatitis
- complication
- computed tomography
- pancreatic pseudocyst
How to Cite
References
Bardia A, Stoikes N, Wilkinson NW. Mediastinal pancreatic pseudocyst with acute airway obstruction. J Gastrointest Surg 2006;10:146-50.
Pitchumoni CS, Agarwal N. Pancreatic pseudocysts. When and how should drainage be performed? Gastroenterol Clin North Am 1999;28:615-39.
Demeusy A, Hosseini M, Sill AM, Cunningham SC. Intrahepatic pancreatic pseudocyst: A review of the world literature. World J Hepatol 2016;8:1576-83.
Shibasaki M, Bandai Y, Ukai T. Pancreatic pseudocyst extending into the liver via the hepatoduodenal ligament: a case report. Hepatogastroenterol 2002;49:1719-21.
Mofredj A, Cadranel JF, Dautreaux M, Kazerouni F, Hadj- Nacer K, Deplaix P et al. Pancreatic pseudocyst located in the liver: a case report and literature review. J Clin Gastroenterol 2000;30:81-3.
Epstein BM, Conidaris C. Pseudocysts involving the left lobe of the liver: CT demonstration. Br J Radiol 1982; 55:928-30.
Okuda K, Sugita S, Tsukada E, Sakuma Y, Ohkubo K. Pancreatic pseudocyst in the left hepatic lobe: a report of two cases. Hepatol 1991; 13:359-63.
Siegelman SS, Copeland BE, Saba GP, Cameron JL, Sanders RC, Zerhouni EA. CT of fluid collections associated with pancreatitis. AJR Am J Roentgenol 1980;134:1121-32.
Bhasin DK, Rana SS, Chandail VS, Nanda M, Nadkarni N, Sinha SK, et al. An intra-hepatic pancreatic pseudocyst successfully treated endoscopic transpapillary drainage alone. JOP 2005;6:593-7.
Ancel D, Lefebvre M, Peyrin-Biroulet L, Chone L, Sido A, Regent D, et al. Pancreatic pseudocysts of the right hepatic lobe during acute biliary pancreatitis. Gastroenterol Clin Biol 2005;29:743-5.
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