AI Article Synopsis
- - A 35-year-old man was hospitalized for severe acute pancreatitis and developed a pancreatic pseudocyst during his stay.
- - After one month of conservative treatment, a CT scan revealed a fistulous connection from the pseudocyst to the common bile duct and duodenum, along with the presence of bile duct stones.
- - Endoscopic removal of the stones led to a gradual decrease in the pseudocyst size, which disappeared completely after four months, with no signs of recurrence on follow-up CT scans.
Article Abstract
A 35-year-old man was hospitalized for severe acute pancreatitis. On the 24th hospital day, CT scan showed a pancreatic pseudocyst in the head of the pancreas. Conservative medical treatment for 1 month was not effective, and CT scan revealed a fistulous communication of the pseudocyst to the common bile duct and duodenum. After the formation of a fistulous communication, we detected common bile duct stones composed of fatty acid calcium and we removed them endoscopically. The pseudocyst gradually decreased in size and disappeared 4 months later. Follow-up CT scan showed no sign of recurrence.
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