Skip to main content
Annals of Surgery logoLink to Annals of Surgery
. 1981 Feb;193(2):176–179. doi: 10.1097/00000658-198102000-00008

Pseudocyst of the pancreas complicating distal splenorenal shunt. A report of three cases with successful percutaneous drainage.

W V McDermott, R A Kane, R W Vollman, E T O'Hara
PMCID: PMC1345037  PMID: 6970555

Abstract

Three cases of pseudocysts of the pancreas complicating the operative procedure of distal splenorenal shunt are reported. In all of these patients, gross changes in the pancreas, consistent with chronic pancreatitis were found. Attention is called to the possibility of this complication occurring in association with this particular operation, specifically, when it is carried out in patients who may prove to have a considerable degree of pancreatic and retroperitoneal fibrosis secondary to alcoholic pancreatitis. All three pseudocysts were satisfactorily managed by percutaneous drainage under ultrasonic control, which provided a very satisfactory alternative to surgical decompression.

Full text

PDF
176

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Busuttil R. W., Brin B., Tompkins R. K. Matched control study of distal splenorenal and portacaval shunts in the treatment of bleeding esophageal varices. Am J Surg. 1979 Jul;138(1):62–67. doi: 10.1016/0002-9610(79)90243-5. [DOI] [PubMed] [Google Scholar]
  2. Gerzof S. G., Robbins A. H., Birkett D. H., Johnson W. C., Pugatch R. D., Vincent M. E. Percutaneous catheter drainage of abdominal abscesses guided by ultrasound and computed tomography. AJR Am J Roentgenol. 1979 Jul;133(1):1–8. doi: 10.2214/ajr.133.1.1. [DOI] [PubMed] [Google Scholar]
  3. Gronvall J., Gronvall S., Hegedüs V. Ultrasound-guided drainage of fluid-containing masses using angiographic catheterization techniques. AJR Am J Roentgenol. 1977 Dec;129(6):997–1002. doi: 10.2214/ajr.129.6.997. [DOI] [PubMed] [Google Scholar]
  4. Hancke S., Pedersen J. F. Percutaneous puncture of pancreatic cysts guided by ultrasound. Surg Gynecol Obstet. 1976 Apr;142(4):551–552. [PubMed] [Google Scholar]
  5. Langer B., Rotstein L. E., Stone R. M., Taylor B. R., Patel S. C., Blendis L. M., Colapinto R. F. A prospective randomized trial of the selective distal splenorenal shunt. Surg Gynecol Obstet. 1980 Jan;150(1):45–48. [PubMed] [Google Scholar]
  6. Mosimann R., Loup P. Efficacy and risks of the distal splenorenal shunt in the treatment of bleeding esophageal varices. Am J Surg. 1977 Feb;133(2):163–168. doi: 10.1016/0002-9610(77)90072-1. [DOI] [PubMed] [Google Scholar]
  7. Reichle F. A., Fahmy W. F., Golsorkhi M. Prospective comparative clinical trial with distal splenorenal and mesocaval shunts. Am J Surg. 1979 Jan;137(1):13–21. doi: 10.1016/0002-9610(79)90004-7. [DOI] [PubMed] [Google Scholar]
  8. Rikkers L. F., Rudman D., Galambos J. T., Fulenwider J. T., Millikan W. J., Kutner M., Smith R. B., 3rd, Salam A. A., Sones P. J., Jr, Warren W. D. A randomized, controlled trial of the distal splenorenal shunt. Ann Surg. 1978 Sep;188(3):271–282. doi: 10.1097/00000658-197809000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Warren W. D., Zeppa R., Fomon J. J. Selective trans-splenic decompression of gastroesophageal varices by distal splenorenal shunt. Ann Surg. 1967 Sep;166(3):437–455. doi: 10.1097/00000658-196709000-00011. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Zeppa R., Hensley G. T., Levi J. U., Bergstresser P. R., Hutson D. G., Sr, Livingstone A. S., Schiff E. R., Fink P. The comparative survivals of alcoholics versus nonalcoholics after distal splenorenal shunt. Ann Surg. 1978 May;187(5):510–514. doi: 10.1097/00000658-197805000-00008. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES