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Two’s a Charm: Endoscopic Therapy of Multiple Pancreatic Pseudocysts

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Abstract

Pancreatic pseudocysts commonly complicate acute pancreatitis. They can evolve either asymptomatically or with important symptoms. Treatment can be surgical, endoscopic, or percutaneous. The authors present a case report of a 78-year-old man who developed symptoms of an acute abdomen during hospitalization. A CT scan showed two pancreatic pseudocysts (diameters 10 cm and 7.5 cm) that were successfully drained endoscopically. Multiple pancreatic pseudocysts can be treated successfully via an endoscopic approach.

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Abbreviations

CRP:

C-reactive protein

EGD:

Esophagogastroduodenoscopy

PFCs:

Pancreatic fluid collections

PP:

Pancreatic pseudocyst

WON:

Walled-off necrosis

ANC:

Acute necrotic collections

APFC:

Acute peripancreatic fluid collection

VARD:

Video-assisted retroperitoneal debridement

EUS:

Endoscopic ultrasound

NGT:

Nasogastric tube

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Authors and Affiliations

  1. Surgery Emergency and GI Department, St. Orsola University Hospital, Bologna, Italy

    M. Minghetti, A. Lauro, N. Pagano, S. Vaccari, M. Cervellera & V. Tonini

  2. Department of Surgical Sciences, La Sapienza University, Umberto I Hospital, Rome, Italy

    V. D’Andrea

  3. Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA

    I. R. Marino

Authors
  1. M. Minghetti
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  2. A. Lauro
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  3. N. Pagano
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  4. S. Vaccari
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  5. V. D’Andrea
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  6. I. R. Marino
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  7. M. Cervellera
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  8. V. Tonini
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Correspondence to A. Lauro.

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Minghetti, M., Lauro, A., Pagano, N. et al. Two’s a Charm: Endoscopic Therapy of Multiple Pancreatic Pseudocysts. Dig Dis Sci 65, 66–70 (2020). https://doi.org/10.1007/s10620-019-05947-2

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  • DOI: https://doi.org/10.1007/s10620-019-05947-2

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