Manejo de un pseudoquiste pancreático en una paciente adulta con pancreatitis crónica: cistogastroanastomosis transgástrica y necrosectomía pancreática presentación de un caso

Abstract

Background: The term ‘pseudocyst’ refers to a well-defined fluid collection covered by a non-epithelialized fibrous and granular tissue layer; they are typically observed as a chronic pancreatitis complication (20% - 40%). It occurs due to increased ductal pressure, causing damage to the pancreatic ducts and leading to extravasation and accumulation of pancreatic fluid. The reported annual incidence of pseudocysts is 1.6 - 4.5 per 100,000 adults, regardless of cause and age. The management of pancreatic pseudocysts has historically been achieved through conservative treatments and surgery. However, advances in laparoscopy, radiology, and endoscopy have allowed the inclusion of laparoscopic, percutaneous, and endoscopic drainage in treatment. Case description: A 50-year-old female patient presents with a 7-month history of abdominal distension, vomiting, gas, constipation, and colicky pain rated 3/10 on the EVA scale, localized in the epigastrium and radiating to the back. She also reports weight loss over the past four months. Conclusion: In this case, the open surgical procedure was successful and not associated with short or long-term complications. However, according to available literature, laparoscopic and endoscopic techniques are replacing those described in this report.