Mina Saeed1, Rami Lutfi, MD2, Ivo Tzvetanov, MD2. 1UIC-Metropolitan Group Hospitals Surgery Residency, 2University of Illinois at Chicago
This is a video presenting a laparoscopic cystgastrostomy for an enormous pancreatic pseudocyst. The patient was a 35 year old female with a history of alcoholic pancreatitis. She presented to the ED with epigastric pain, abdominal distension, nausea and vomitting. A CT revealed a large pancreatic pseudocyst and pancreatitis. She recovered well from her pancreatitis and was offered an elective cystgastrostomy, once the pseudocyst had time to mature. She agreed, and stopped drinking. Approximately 7 weeks later, she re-presented to the ED, again with complaints of epigastric pain, abdominal distension, nausea and vomitting. A CT revealed a significant increase in the size of the pseudocyst and displacement of the stomach against the abdominal wall, preventing her from being able to eat. She therefore underwent laparoscopic cystgastrostomy, with drainage of 3.6 L of fluid. She tolerated the procedure extremely well, and was discharged shortly thereafter. This case highlights a minimaly invasive approach to an enormous pseudocyst, which provided immediate relief of symptoms, and low surgical risk.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80228
Program Number: V195
Presentation Session: Video Loop
Presentation Type: VideoLoop